Individual provider Active NPI

Nathalie Smith Paulino, NP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1104589001
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055335 Issued in TX
Practice address
1202 E Sonterra Blvd Ste 701
San Antonio, TX 78258-4094
Phone
(210) 851-9209
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1055335 TX Primary

Addresses

Primary practice location

1202 E Sonterra Blvd Ste 701
San Antonio, TX 78258-4094

Mailing address

1202 E Sonterra Blvd Ste 701
San Antonio, TX 78258-4094

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ngoins@synergenx.com

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

LicenseStateTypeSpecialty
1055335TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1104589001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 701",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 701",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584094",
            "telephone_number": "210-851-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINO",
        "first_name": "NATHALIE",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngoins@synergenx.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "16131 N Eldridge Pkwy Ste 100",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773779130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 18, 2021; 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.