Active NPI
Cristina Sotelo
- Pharmacist
- Austin, TX
National Provider Identifier
1134464555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45344
- Practice address
- 9708 Sydney Marilyn LN
Austin, TX 78748-3086 - Phone
- (702) 580-8311
- NPI assigned
- Dec 11, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45344 | TX | Primary |
| Pharmacist | 183500000X | 12452 | NV |
Addresses
Primary practice location
9708 Sydney Marilyn LN
Austin, TX 78748-3086
Mailing address
9708 Sydney Marilyn LN
Austin, TX 78748-3086
Phone (702) 580-8311
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 |
|---|---|---|---|
| 45344 | TX | MD | Pharmacist |
| 12452 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1134464555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9708 SYDNEY MARILYN LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787483086",
"telephone_number": "702-580-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9708 SYDNEY MARILYN LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787483086",
"telephone_number": "702-580-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTELO",
"first_name": "CRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45344",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "12452",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.