Anna Liza M Caballegan

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

777846 Issued in TX

Practice address

1347 Big LK
San Antonio, TX 78245-1828

Phone

(830) 377-0288

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1194205435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 BIG LK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451828",
            "telephone_number": "830-377-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 BIG LK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451828",
            "telephone_number": "830-377-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLEGAN",
        "first_name": "ANNA LIZA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "777846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&C Care Partners LLC (Executive Home Care San Antonio North)
• C&C Hearing Clinics, Inc. (Miracle-Ear Hearing Center)
• C&I Holdings, LLC (Lone Star Behavioral Health, San Antonio)
• C&I Holdings, LLC (Lone Star Behavioral Health, San Antonio)
• C3Tsd Enterprises PLLC (Bright Smile Dental and Orthodontics)
• Amanda Elizabeth Caballero
• Brianna Nicole Caballero
• Diana Marie Caballero
• Jameve Caballero, FNP
• Jeannette Caballero, M.A.

• Pediatric Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.