Individual provider Active NPI

Nadia Theys, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Rosa, TX
National Provider Identifier
1033618442
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP136544 Issued in TX
Practice address
12965 San Filippo Rd
Santa Rosa, TX 78593-2112
Phone
(956) 270-2251
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP136544 TX Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X AP136544 TX

Addresses

Primary practice location

12965 San Filippo Rd
Santa Rosa, TX 78593-2112

Mailing address

12965 San Filippo Rd
Santa Rosa, TX 78593-2112
Phone (956) 270-2251

Other names 1

  • Nadia Lopez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315002268 TX Practitioner - Nurse Practitioner 1355736026 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136544TXMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Psychiatric Associates of South Texas, PLLC CurrentSince Nov 11, 2021 Accepting new patients

Locations

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

Organizations & group practices 1

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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1033618442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12965 SAN FILIPPO RD",
            "city": "SANTA ROSA",
            "state": "TX",
            "postal_code": "785932112",
            "telephone_number": "956-270-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12965 SAN FILIPPO RD",
            "city": "SANTA ROSA",
            "state": "TX",
            "postal_code": "785932112",
            "telephone_number": "956-270-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEYS",
        "first_name": "NADIA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136544",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "TX",
            "license": "AP136544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "LOPEZ",
            "credential": "ANP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, TX

Sources for this page

Verify at the official NPI Registry.