Stephanie Anne Aviles, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1033449 Issued in TX

Practice address

5439 Ray Ellison Blvd
San Antonio, TX 78242-2219

Phone

(210) 922-7000

Fax

(210) 457-3390

NPI assigned

Jul 15, 2021

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.aviles.p1@direct.centromed.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Centro del Barrio, Inc.

  dba CentroMed South Park Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1538264429
  Medicare reassignment NPD
• El Centro del Barrio

  dba CentroMed

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1316126675
  NPD
• El Centro del Barrio, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1861211567
  NPD
• El Centro del Barrio, Inc.

  dba Dullnig House Clinic

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1154495182
  NPD (past)
• Topcare Medical Group Inc

  dba Clinicas Mi Doctor

  • Specialist
  • Dallas, TX
  • NPI 1730337163
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1003488255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 RAY ELLISON BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782422219",
            "telephone_number": "210-922-7000",
            "fax_number": "210-457-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1033449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Aviles
• Erick Aviles
• Jaime Aviles
• Natalia Aviles
• Sandra R Aviles, MD
• Isabella Avina
• Laura Jo Avina, LCSW
• Vanessa Avina, PH.D.
• Avita Drugs, LLC (Avita Pharmacy 1077)
• Avita Drugs, LLC

• Pediatric Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.