Individual provider Active NPI

Mary Gomez Curll, RN, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174528319
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
500273 Issued in TX
Practice address
1025 S Presa St
San Antonio, TX 78210-1359
Phone
(210) 228-9340
Fax
(210) 228-9342
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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 500273 TX Primary

Addresses

Primary practice location

1025 S Presa St
San Antonio, TX 78210-1359

Mailing address

1730 Fawn Gate
San Antonio, TX 78248-1325
Phone (210) 492-7278

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
I20050112000285 TX Practitioner - Nurse Practitioner 7214985654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1025 S Presa St
San Antonio, TX 78210-1359
Phone (210) 228-9340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
500273TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southtown Clinic, PC Family CurrentSince Dec 20, 2011 Accepting new patients
Olivia a Valdez, M.D., P.a. Past Accepting new patients

Locations

1025 S Presa St
San Antonio, TX 78210
Phone (210) 228-9340

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1174528319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 FAWN GATE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481325",
            "telephone_number": "210-492-7278",
            "fax_number": "210-479-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S PRESA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782101359",
            "telephone_number": "210-228-9340",
            "fax_number": "210-228-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURLL",
        "first_name": "MARY",
        "middle_name": "GOMEZ",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "500273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.