Organization Active NPI

Ryan Robles FNP-BC Pmhnp-BC PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1053970343
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RYAN ROBLES FNP-BC PMHNP-BC PLLC
Practice address
4242 Woodcock Dr Ste 201
San Antonio, TX 78228-1325
Phone
(210) 481-8673
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Ryan Robles, FNP-BC PMHNP-BC
Title
Owner
Phone
(210) 481-8673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4242 Woodcock Dr Ste 201
San Antonio, TX 78228-1325

Mailing address

4242 Woodcock Dr Ste 201
San Antonio, TX 78228-1325
Phone (210) 481-8673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1053970343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 WOODCOCK DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281325",
            "telephone_number": "210-481-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 WOODCOCK DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281325",
            "telephone_number": "210-481-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN ROBLES FNP-BC PMHNP-BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-481-8673",
        "authorized_official_credential": "FNP-BC PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.