Active NPI
Gloria Roux, CRNP
- Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1104286228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP144087
- Practice address
- 1314 E Sonterra Blvd Ste 5102
San Antonio, TX 78258-4289 - Phone
- (210) 490-8888
- Fax
- (210) 496-6865
- NPI assigned
- Mar 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP144087 | TX | |
| Nurse Practitioner | 363L00000X | AP144087 | TX | Primary |
Addresses
Primary practice location
1314 E Sonterra Blvd Ste 5102
San Antonio, TX 78258-4289
Mailing address
1314 E Sonterra Blvd Ste 5102
San Antonio, TX 78258-4289
Phone (210) 490-8888
Other practice location 1
19238 Stonehue
San Antonio, TX 78258-3447
Phone (210) 494-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP144087 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abcd Pediatrics | Past | Accepting new patients | |
| Topcare Medical Group Inc | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1841280278
-
- Specialist
- Dallas, TX
- NPI 1730337163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1104286228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 E SONTERRA BLVD STE 5102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584289",
"telephone_number": "210-490-8888",
"fax_number": "210-496-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E SONTERRA BLVD STE 5102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584289",
"telephone_number": "210-490-8888",
"fax_number": "210-496-6865"
}
],
"practiceLocations": [
{
"address_1": "19238 Stonehue",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782583447",
"country_code": "US",
"telephone_number": "210-494-2223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUX",
"first_name": "GLORIA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-02",
"last_updated": "2023-07-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144087",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP144087",
"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 Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.