DEBORAH SAMPLE (NPI# 1073048922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073048922 |
| Entity Type | Individual |
| Full Name | DEBORAH SAMPLE |
| Credential | PNP |
| Practice Address |
701 Nita Fay Dr El Paso TX 79912-1401 |
| Practice Telephone | 9155811265 |
| Mailing Telephone | 9155811265 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP133577 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 NITA FAY DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255994174 | Priscilla Aguilar-hernandez | Nurse Practitioner | 10870 Gateway Blvd N Ste B, El Paso, TX 79924-1802 | 2019-04-16 |
| 1639659337 | Idali Barraza Cooper | Nurse Practitioner | 11331 James Watt Dr Ste 600, El Paso, TX 79936-6401 | 2018-08-21 |
| 1619477809 | Stephanie Lynn Baldwin | Nurse Practitioner | 5036 Gold Ranch Ave, El Paso, TX 79934-2859 | 2018-02-14 |
| 1144751223 | Heather Louise Saucedo | Nurse Practitioner | 11577 James Grant Dr, El Paso, TX 79936-5417 | 2017-03-21 |
| 1053854307 | Tanya Louise Alvarez | Nurse Practitioner | 4845 Alameda, El Paso Children's Hospital, El Paso, TX 79905 | 2016-11-18 |
| 1629437447 | Sandra Rebekah Flores | Nurse Practitioner | 2431 Pittsburg Ave, El Paso, TX 79930-1125 | 2016-02-22 |
| 1730547985 | Lourdes Guadalupe Alvarez | Nurse Practitioner | 1344 Backus St, El Paso, TX 79925-6605 | 2016-02-03 |
| 1396102778 | Vanessa Velez | Nurse Practitioner | 4845 Alameda Avenue, El Paso, TX 79905 | 2016-01-15 |
| 1609272962 | Klaudia S. Gutierrez | Nurse Practitioner | 11026 Vista Del Sol Dr, El Paso, TX 79935-4314 | 2014-11-14 |
| 1811207046 | Sondra Susan Skory | Nurse Practitioner | 1400 N. El Paso St., Building E, El Paso, TX 79902 | 2010-10-21 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.