Active NPI
Katy Bly Caulfield, AGPCNP
- Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1115957
- Practice address
- 9618 Huebner Rd Ste 202
San Antonio, TX 78240-1776 - Phone
- (210) 651-0303
- Fax
- (210) 651-0302
- NPI assigned
- May 3, 2023
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1115957 | TX | |
| Nurse Practitioner | 363L00000X | 1115957 | TX | Primary |
Addresses
Primary practice location
9618 Huebner Rd Ste 202
San Antonio, TX 78240-1776
Mailing address
7947 Colonial Woods
Boerne, TX 78015-5001
Phone (210) 414-0982
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
120 Medical Dr
Boerne, TX 78006-1830
Phone (830) 816-5700
9618 Huebner Rd
Suite 202
San Antonio, TX 78240-1776
Phone 2106510303226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1115957 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Center for Medical & Surgical Weight Loss P a | Nurse Practitioner | Current | Accepting new patients |
| Medcare Associates, P.a. | Current | Accepting new patients | |
| Medcare Associates PA | Past | Accepting new patients |
Locations
120 Medical Dr
Boerne, TX 78006
Phone (830) 249-9307
1051 US Highway 90 E
Castroville, TX 78009
Phone (830) 931-3336
9618 Huebner Rd
Ste 202
San Antonio, TX 78240
Phone (210) 651-0303
19260 Stone Oak Pkwy
Ste 105
San Antonio, TX 78258
Phone (210) 402-3456
Organizations & group practices 3
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.
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- NPI 1215025598
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dba Sage Bariatric Institue
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- NPI 1437103587
Nurse Practitioner
-
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- Castroville, TX
- NPI 1508857939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1174212427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7947 COLONIAL WOODS",
"city": "BOERNE",
"state": "TX",
"postal_code": "780155001",
"telephone_number": "210-414-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9618 HUEBNER RD STE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401776",
"telephone_number": "210-651-0303",
"fax_number": "210-651-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAULFIELD",
"first_name": "KATY",
"middle_name": "BLY",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1115957",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1115957",
"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 Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.