Individual provider Active NPI

Vilma Benavides, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1215768759
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1157180 Issued in TX
Practice address
6393 Babcock Rd # 102
San Antonio, TX 78240-2516
Phone
(726) 200-1725
NPI assigned
Aug 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 1157180 TX Primary

Addresses

Primary practice location

6393 Babcock Rd # 102
San Antonio, TX 78240-2516

Mailing address

6393 Babcock Rd # 102
San Antonio, TX 78240-2516
Phone (726) 200-1725

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
I20240923000733 TX Practitioner - Nurse Practitioner 8325589054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers South Hill Country Texas, PLLCGroup PAC ID 4284048646, 30 clinicians

Practice addresses (Care Compare)

5282 Medical Dr
Suite 210
San Antonio, TX 78229-4849
Phone (726) 200-1725

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1157180TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers South Hill Country Texas, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Cleanslate Medical Group of Texas PLLC PastSince Aug 1, 2024 Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

6393 Babcock Rd
#102
San Antonio, TX 78240
Phone (726) 200-1725

5282 Medical Dr
Ste 210
San Antonio, TX 78229
Phone (210) 580-5440

Interoperability endpoints

  • Direct secure messaging: vilma.benavides.1@13711.direct.athenahealth.com

Organizations & group practices 2

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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1215768759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6393 BABCOCK RD # 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402516",
            "telephone_number": "726-200-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6393 BABCOCK RD # 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402516",
            "telephone_number": "726-200-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "VILMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1157180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.