Individual provider Active NPI

Reylin C Segura, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1013240852
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
684347 Issued in TX
Practice address
202 Baltimore
San Antonio, TX 78215-1907
Phone
(210) 299-8000
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 684347 TX Primary

Addresses

Primary practice location

202 Baltimore
San Antonio, TX 78215-1907

Mailing address

PO Box 65057
San Antonio, TX 78265-5057
Phone (210) 299-8000

Other practice location 1

19288 Stone Oak Pkwy
San Antonio, TX 78258-3222
Phone (210) 490-2707

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110922000483 TX Practitioner - Nurse Practitioner 8426229477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology San AntonioGroup PAC ID 7315262730, 5 clinicians

Practice addresses (Care Compare)

19288 Stone Oak Pkwy B
San Antonio, TX 78258-3222
Phone (210) 490-2707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
684347TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology San Antonio CurrentSince Aug 1, 2016 Accepting new patients
Radiation Oncology of San Antonio, PA PastSince Aug 1, 2016 Accepting new patients

Locations

19288 Stone Oak Pkwy
Ste B
San Antonio, TX 78258
Phone (210) 299-8099

19288 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 402-3548

202 Baltimore
San Antonio, TX 78215
Phone (210) 299-8000

9102 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 247-0888

19288 Stone Oak Pkwy
#B
San Antonio, TX 78258
Phone (210) 490-2707

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1013240852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65057",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782655057",
            "telephone_number": "210-299-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BALTIMORE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151907",
            "telephone_number": "210-299-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19288 Stone Oak Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583222",
            "country_code": "US",
            "telephone_number": "210-490-2707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "REYLIN",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "684347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.