MRS. JESSICA MELISSA VERGARA (NPI# 1629576020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629576020 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA MELISSA VERGARA |
| Credential | AGACNP-BC |
| Practice Address |
5428 Santiago Roque Dr El Paso TX 79934-3181 |
| Practice Telephone | 9152189163 |
| Mailing Telephone | 9152189163 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP136701 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 N Oregon St, El Paso, TX 799023320 | 9152189163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255687158 | Jessica I Vergara | Early Intervention Provider Agency | 2897 Dudley Ave Fl 1, Bronx, NY 10461-5647 | 2012-07-28 |
| Street Address |
5428 SANTIAGO ROQUE DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79934-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1215493416 | Patriot Rehabilitation and Wellness Center LLC | Skilled Nursing Facility | 11490 Gateway North Blvd., El Paso, TX 79934 | 2019-02-13 |
| 1114409950 | Ricardo Macias | Physical Therapist | 11385 Cattle Ranch St., El Paso, TX 79934 | 2018-08-29 |
| 1124557582 | Maria Cristina Tollens | Registered Nurse | 11149 Loma Escondida Dr, El Paso, TX 79934 | 2017-06-08 |
| 1275915407 | Karla Durig | Day Training/Habilitation Specialist | 11609 Ochre Bluff Ln, El Paso, TX 79934 | 2015-06-24 |
| 1285919241 | Perri D Walter | Counselor | 4353 Loma De Brisas, El Paso, TX 79934 | 2011-10-20 |
| 1912203506 | Pm Management - El Paso I Nc LLC | Skilled Nursing Facility | 11169 Sean Haggerty, El Paso, TX 79934 | 2011-01-31 |
| 1487856761 | Louis E Zuniga | Physical Therapist | 4758 Loma Del Sur, Suite A, El Paso, TX 79934 | 2007-05-31 |
| 1861994808 | Hcn Ep Horizon City, LLC | General Acute Care Hospital | 11274 Mccombs St, El Paso, TX 79934 | 2018-03-06 |
| 1023083789 | Aaron R Elliott | Registered Nurse | William Beaumont Army Medical Center, 5005 North Piedras St., El Paso, TX 79934 | 2006-02-17 |
| Find all providers in zip 79934 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099016 | Cecilia Ileana Alvarez | Nurse Practitioner | 1508 N Zaragoza Rd, El Paso, TX 79936-8034 | 2020-07-01 |
| 1831724293 | Renee Nicole Paulette | Nurse Practitioner | 1385 Andrea Micaela Pl, El Paso, TX 79928-5284 | 2020-03-06 |
| 1669007035 | Angeli Luche Vaughn | Nurse Practitioner | 10201 Gateway Blvd W Ste 210, El Paso, TX 79925-7647 | 2020-03-06 |
| 1356988117 | Ahtesham Ali | Nurse Practitioner | 9720 Saigon Dr, El Paso, TX 79925-5337 | 2019-11-28 |
| 1447809884 | Anthony Viscon | Nurse Practitioner | 2000 Woodrow Bean Transmountain Rd, El Paso, TX 79911 | 2019-09-09 |
| 1316507718 | Krista Joy Renae Davis | Nurse Practitioner | 2000b Trans Mountain Rd Ste 200, El Paso, TX 79911-3600 | 2019-06-18 |
| 1811461197 | Mohamed Abdoullah Khamsi | Nurse Practitioner | 2000 Trans Mountain Rd Ste B400, El Paso, TX 79911-3601 | 2019-01-19 |
| 1962915223 | Abel Duque Jr. | Nurse Practitioner | 5080 Powder River Ln, El Paso, TX 79938-8286 | 2017-11-08 |
| 1124537816 | Sara Nicole Seagrove | Nurse Practitioner | 10470 Vista Del Sol Dr Ste 216, El Paso, TX 79925-7948 | 2017-09-25 |
| 1639603657 | Eladia Cosby | Nurse Practitioner | 1259 Franklin Quail Pl, El Paso, TX 79912-7706 | 2017-04-17 |
| 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.