Individual provider Active NPI

Andrew T Vidal, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1194264531
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133328 Issued in TX
Practice address
21411 US Highway 281 S
San Antonio, TX 78264-4824
Phone
(210) 844-7550
NPI assigned
Feb 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 AP133328 TX Primary

Addresses

Primary practice location

21411 US Highway 281 S
San Antonio, TX 78264-4824

Mailing address

21411 US Highway 281 S
San Antonio, TX 78264-4824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalis Specialty Group LLC Family CurrentSince Jun 1, 2024 Accepting new patients
Pam Physician Enterprise CurrentSince Jul 1, 2019 Accepting new patients
24-7 Home Care LLC Current Accepting new patients
Veda Medical, LLC CurrentSince Sep 1, 2019 Accepting new patients
VMD Primary Providers South Hill Country Texas, PLLC PastSince Mar 18, 2017 Accepting new patients
Mmcare - Hospice LLC PastSince Aug 13, 2023 Accepting new patients

Locations

12315 Judson Rd
Ste 110
Live Oak, TX 78233
Phone (210) 566-8332

8235 S New Braunfels
Ste 201
San Antonio, TX 78235
Phone (210) 504-5053

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306

5101 Medical Dr
San Antonio, TX 78229
Phone (210) 592-5438

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1194264531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21411 US HIGHWAY 281 S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782644824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21411 US HIGHWAY 281 S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782644824",
            "telephone_number": "210-844-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "ANDREW",
        "middle_name": "T",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.