Individual provider Active NPI

Alyssa Canales, MSN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1013633742
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1081665 Issued in TX
Practice address
535 Gordon St
Corpus Christi, TX 78404-2535
Phone
(361) 320-1890
Fax
(361) 320-1891
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1081665 TX Primary

Addresses

Primary practice location

535 Gordon St
Corpus Christi, TX 78404-2535

Mailing address

102 Santa Fe
Victoria, TX 77904-3754
Phone (361) 212-6409

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
I20260617003280 TX Practitioner - Nurse Practitioner 2567934839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Southern Gastroenterology PLLC 2 clinicians

Practice addresses (Care Compare)

5210 FM 1463 Rd
Fulshear, TX 77494-5668
Phone (361) 237-3975

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1081665TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Southern Gastroenterology PLLC CurrentSince May 21, 2026 Accepting new patients
Advanced Gastroenterology and Nutrition of Texas PLLC Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

535 Gordon St
Corpus Christi, TX 78404
Phone (361) 855-7171

5210 FM 1463 Rd
Fulshear, TX 77494

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1013633742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SANTA FE",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043754",
            "telephone_number": "361-212-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GORDON ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042535",
            "telephone_number": "361-320-1890",
            "fax_number": "361-320-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "ALYSSA",
        "credential": "MSN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1081665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.