Celia Alviso, RN CPNP PC

Individual provider Active NPI Pediatric Nurse Practitioner · San Antonio, TX

NPI 1174858591 · NPPES record last updated May 20, 2020

Key facts

NPI
1174858591
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
640973 (TX)
Practice address
7333 Barlite Blvd Ste 380
San Antonio, TX 78224-1359
Phone
(210) 922-7000
Fax
(210) 924-5611
NPI assigned
Oct 4, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20091123000463 TX Practitioner - Nurse Practitioner 1850430398 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
640973TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio, Inc. Current Accepting new patients
El Centro del Barrio Current
since Oct 1, 2019
Accepting new patients
El Centro del Barrio, Inc. Current
since Oct 1, 2019
Accepting new patients
Baylor College of Medicine Current
since Jul 1, 2013
Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients

Locations

94 Briggs St
Ste 400
San Antonio, TX 78224
Phone (210) 576-0533

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

7333 Barlite Blvd
Ste 380
San Antonio, TX 78224
Phone (210) 932-9474

Interoperability endpoints

  • Direct secure messaging: celia.alviso.p1@direct.centromed.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 640973 TX Yes

Addresses

Primary practice location

7333 Barlite Blvd Ste 380
San Antonio, TX 78224-1359

Mailing address

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2020.

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1174858591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD STE 380",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241359",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVISO",
        "first_name": "CELIA",
        "name_prefix": "Mrs.",
        "credential": "RN CPNP PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-04",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "640973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

All providers in San Antonio, TX · Pediatric Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.