LIA DAVALOS PROFESSIONAL CORPORATION
NPI 1417555152
Nurse Practitioner in El Paso, TX

Active since October 14, 2020
10470 VISTA DEL SOL DR, EL PASO, TX 79925(915) 615-7150 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2021, Oct 14, 2020 (2 updates tracked since 2020).

About Lia Davalos Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIA DAVALOS PROFESSIONAL CORPORATION (NPI 1417555152) is a healthcare organization registered as a nurse practitioner in El Paso, Texas and active in the NPI registry since October 2020. The organization lists Lia Davalos, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1417555152
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLIA DAVALOS PROFESSIONAL CORPORATION
Location Address10470 VISTA DEL SOL DREl Paso, TX 79925-7948
Mailing Address10470 Vista Del Sol Dr Ste 102El Paso, TX 79925-7928 · (915) 615-7150 · Fax (915) 207-2143
Organization SubpartNo
Authorized OfficialLia DavalosNurse Practitioner · (915) 615-7150
Enumeration DateOctober 14, 2020
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1417555152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10470 VISTA DEL SOL DR, El Paso, TX 79925

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lia Davalos Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lia Davalos Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1154752004
10470 VISTA DEL SOL DR STE 102
El Paso, TX 79925
(915) 615-7150
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lia Davalos Professional Corporation's NPI number?

The NPI number for Lia Davalos Professional Corporation is 1417555152. It was assigned to this organization in the NPPES registry on October 14, 2020.

Where is Lia Davalos Professional Corporation located?

Lia Davalos Professional Corporation is located at 10470 Vista Del Sol Dr, El Paso, TX 79925. The listed phone number is (915) 615-7150.

What is Lia Davalos Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lia Davalos Professional Corporation enrolled in Medicare?

Yes. Lia Davalos Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lia Davalos Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lia Davalos Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lia Davalos Professional Corporation accept?

Health plans from Blue Cross and Blue Shield of Texas list Lia Davalos Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lia Davalos Professional Corporation was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.