Individual provider Active NPI

Annette Lenore Gallegos

  • Licensed Vocational Nurse
  • San Antonio, TX
National Provider Identifier
1053225433
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
106977 Issued in TX
Practice address
12042 Blanco Rd Ste 355
San Antonio, TX 78216-5440
Phone
(210) 475-3731
Fax
(210) 890-8007
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 106977 TX Primary

Addresses

Primary practice location

12042 Blanco Rd Ste 355
San Antonio, TX 78216-5440

Mailing address

12042 Blanco Rd Ste 355
San Antonio, TX 78216-5440
Phone (210) 475-3731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1053225433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 BLANCO RD STE 355",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165440",
            "telephone_number": "210-475-3731",
            "fax_number": "210-890-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 BLANCO RD STE 355",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165440",
            "telephone_number": "210-475-3731",
            "fax_number": "210-890-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "ANNETTE",
        "middle_name": "LENORE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "106977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.