Individual provider Active NPI

Beela Blessan Kallimel, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174954093
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
742785 Issued in TX
Practice address
23530 Wilderness Oak
San Antonio, TX 78258-2406
Phone
(210) 481-7642
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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 742785 TX Primary

Addresses

Primary practice location

23530 Wilderness Oak
San Antonio, TX 78258-2406

Mailing address

6406 Lochglen
San Antonio, TX 78240-2568
Phone (512) 743-2164

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
I20140319001840 TX Practitioner - Nurse Practitioner 0244461036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

10200 Broadway St
Suite 200
San Antonio, TX 78217-4432
Phone (210) 654-8787

4025 S Padre Island Dr
Corpus Christi, TX 78411-4420
Phone (361) 852-8255

8522 Broadway
Suite 111
San Antonio, TX 78217-6377
Phone (210) 293-1700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince Oct 10, 2016 Accepting new patients
American Current Care, P.a. Current Accepting new patients
American Current Care P.a. CurrentSince Oct 10, 2016 Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

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.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1174954093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 LOCHGLEN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402568",
            "telephone_number": "512-743-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23530 WILDERNESS OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582406",
            "telephone_number": "210-481-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIMEL",
        "first_name": "BEELA",
        "middle_name": "BLESSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "742785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.