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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 640973 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro del Barrio, Inc. | Current | Accepting new patients | |
| El Centro del Barrio | Current |
Accepting new patients | |
| El Centro del Barrio, Inc. | Current |
Accepting new patients | |
| Baylor College of Medicine | Current |
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
- celia.alviso.p1@direct.centromed.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Tahira Palmer Alves
- Darrell Andrew Alviar
- Delia Patricia Alviar
- Jessica Alviar
- Leah Alviar
- Arsahy Alvizo
- Kamryn Taylor Alward
- Mona Alweiss
- Alyssa Cedillo Counseling PLLC Aka Tree of Life Counseling Center
- Hani Alzewoane
All providers in San Antonio, TX · Pediatric Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.