Individual provider Active NPI

Lee Ann Stride

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1073308565
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1179184 Issued in TX
Practice address
11130 Christus HLS Ste 119
San Antonio, TX 78251-3586
Phone
(210) 703-9880
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1179184 TX Primary
Pediatrics Physician 208000000X 1179184 TX

Addresses

Primary practice location

11130 Christus HLS Ste 119
San Antonio, TX 78251-3586

Mailing address

11515 Lily Blair
San Antonio, TX 78253-6408
Phone (940) 781-0554

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
I20250915003564 TX Practitioner - Nurse Practitioner 8527561414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Corporate Blvd
Lafayette, LA 70508-3844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1179184TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar Emergency Physicians, PLLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

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

11503 NW Military Hwy
Ste 122
San Antonio, TX 78231
Phone (210) 853-1500

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1073308565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 LILY BLAIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536408",
            "telephone_number": "940-781-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 CHRISTUS HLS STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513586",
            "telephone_number": "210-703-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIDE",
        "first_name": "LEE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1179184",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "1179184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.