Individual provider Active NPI

Erin M Enriquez, DNP, CPNP-AC/PC

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1013789890
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1092270 Issued in TX
Practice address
1900 Barton Springs Rd
Austin, TX 78704-1334
Phone
(512) 828-6997
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 1092270 TX
Primary Care Nurse Practitioner 363LP2300X 1092270 TX
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X 1092270 TX Primary

Addresses

Primary practice location

1900 Barton Springs Rd
Austin, TX 78704-1334

Mailing address

1900 Barton Springs Rd
Austin, TX 78704-1334
Phone (512) 828-6997

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
I20231205001669 TX Practitioner - Nurse Practitioner 2062860851 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1092270TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar Emergency Physicians, PLLC Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Victoria Emergency Partners LLC Multi-Specialty CurrentSince Nov 20, 2023 Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1013789890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BARTON SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041334",
            "telephone_number": "512-828-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BARTON SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041334",
            "telephone_number": "512-828-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "DNP, CPNP-AC/PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-12-21",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1092270",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1092270",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1092270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.