Active NPI
Christian Renae Longoria, R.N., F.N.P.
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1215043690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 606979
- Practice address
- 555 E Basse Rd Ste 117
San Antonio, TX 78209-8329 - Phone
- (210) 546-1430
- Fax
- (210) 546-1439
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 606979 | TX | Primary |
Addresses
Primary practice location
555 E Basse Rd Ste 117
San Antonio, TX 78209-8329
Mailing address
45 NE Loop 410
Ste 850
San Antonio, TX 78216-5824
Phone (210) 805-9800
Other practice location 1
332 W Sunset Rd Ste 3
San Antonio, TX 78209-1755
Phone (210) 546-1430
Other practice location 2
403 Treeline Park
Suite 200
San Antonio, TX 78209-2042
Phone (210) 805-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2854499-01 | Medicaid | TX | |
| 8G8269 | Other | TX | MEDICARE PTAN |
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, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Pain Associates, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine Physician
- San Antonio, TX
- NPI 1053420935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1215043690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NE LOOP 410",
"address_2": "STE 850",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165824",
"telephone_number": "210-805-9800",
"fax_number": "210-805-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E BASSE RD STE 117",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782098329",
"telephone_number": "210-546-1430",
"fax_number": "210-546-1439"
}
],
"practiceLocations": [
{
"address_1": "332 W Sunset Rd Ste 3",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782091755",
"country_code": "US",
"telephone_number": "210-546-1430",
"fax_number": "210-546-1439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 Treeline Park",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782092042",
"country_code": "US",
"telephone_number": "210-805-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGORIA",
"first_name": "CHRISTIAN",
"middle_name": "RENAE",
"credential": "R.N., F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "606979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2854499-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8G8269",
"state": "TX"
}
],
"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 Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.