Individual provider Active NPI

Christian Renae Longoria, R.N., F.N.P.

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1215043690
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
606979 Issued in TX
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

Updated by the provider on Jun 2, 2020

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 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

IdentifierTypeStateIssuer
2854499-01MedicaidTX
8G8269OtherTXMEDICARE 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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.