BOBBI EUGENIA DERAS (NPI# 1962035337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962035337 |
| Entity Type | Individual |
| Full Name | BOBBI EUGENIA DERAS |
| Credential | NP |
| Practice Address |
4305 N Mesa St Ste B El Paso TX 79902-1124 |
| Practice Telephone | 9157797378 |
| Practice Fax Number | 9157792822 |
| Mailing Telephone | 9157797378 |
| Mailing Fax Number | 9157792822 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP145764 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
788601 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3030 Joe Battle Blvd, El Paso, TX 799382667 | 9152421634 | 9152421651 |
| Street Address |
4305 N MESA ST STE B |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550861 | Ronald J Blumenfeld | Specialist | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2005-06-30 |
| 1659901759 | Gonzalo A Diaz | Durable Medical Equipment & Medical Supplies | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2020-01-17 |
| 1669011714 | El Paso Sleep Center Pa | Internal Medicine | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2020-01-06 |
| 1689029258 | Maria Isabel Macias | Student in an Organized Health Care Education/Training Program | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2016-05-02 |
| 1982010203 | Omavi Bailey | Family Medicine | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2014-07-08 |
| 1417198524 | Maria Arellano Mendoza | Nurse Practitioner | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2009-03-19 |
| 1326261249 | Gonzalo A Diaz | Internal Medicine | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1700364072 | Patricia Rosales | Counselor | 611 Newman Street, El Paso, TX 79902 | 2018-07-30 |
| 1275020117 | Maximo Arroyo | Acupuncturist | 1627 Montana Ave, El Paso, TX 79902 | 2018-04-17 |
| 1699288464 | Eva Gonzalez-lewis | Social Worker | 1225 E. Cliff Dr Bldg 3 Ste#100, El Paso, TX 79902 | 2017-11-14 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1609306992 | Vidanta Personal Assistance Services Inc | Nursing Care | 1801 E Yandell Dr, El Paso, TX 79902 | 2017-06-19 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| 1841672904 | Norma Avitia | Counselor | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 | 2015-06-25 |
| 1962826370 | Josefina Avalos | Social Worker | 1101 E. Schuster, El Paso, TX 79902 | 2014-02-06 |
| Find all providers in zip 79902 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356850861 | Md Shahaduzzaman | Nurse Practitioner | 7812 Gateway Blvd. East, Suite 110, El Paso, TX 79915 | 2017-09-27 |
| 1548869720 | Karen Daniela Padilla Sanchez | Nurse Practitioner | 7430 N Mesa St, El Paso, TX 79912-3504 | 2020-10-20 |
| 1083259147 | Moises Gutierrez | Nurse Practitioner | 2000b Trans Mountain Rd Ste 270, El Paso, TX 79911-3600 | 2019-11-13 |
| 1558928184 | Warren Kimmel | Nurse Practitioner | 4305 N Mesa St Ste A, El Paso, TX 79902-1124 | 2019-05-20 |
| 1497233464 | Suzanne M Denson | Nurse Practitioner | 4305 N Mesa St Ste A, El Paso, TX 79902-1124 | 2018-08-01 |
| 1295286557 | Edwin Lopez | Nurse Practitioner | 4801 Alberta Ave, El Paso, TX 79905 | 2016-10-20 |
| 1578916458 | Nilda D Martinez | Nurse Practitioner | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2016-07-15 |
| 1265804454 | Gabriel Mendoza | Nurse Practitioner | 4305 N Mesa St, Suite A, El Paso, TX 79902-1123 | 2015-10-27 |
| 1326417106 | Guillermina Nelson | Nurse Practitioner | 4305 N Mesa St, Suite A, El Paso, TX 79902-1123 | 2015-09-22 |
| 1568852440 | Marjorie Nicole Reliford | Nurse Practitioner | 4305 N Mesa St, Suite A, El Paso, TX 79902-1123 | 2015-01-29 |
| Find all providers in EL PASO | ||||
Please comment or provide details below to improve the information on BOBBI EUGENIA DERAS.
| 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.