Individual provider Active NPI

Mandy R Wright, FNP

  • Family Nurse Practitioner
  • Stockdale, TX
National Provider Identifier
1225174576
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP110180 Issued in TX
Practice address
601 Person Street
Stockdale, TX 78160
Phone
(830) 996-3701
Fax
(830) 996-3749
NPI assigned
Jan 30, 2007
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 634624 TX
Family Nurse Practitioner 363LF0000X AP110180 TX Primary

Addresses

Primary practice location

601 Person Street
Stockdale, TX 78160

Mailing address

1350 Ashby St Ste B
Seguin, TX 78155-5154
Phone (830) 303-9400

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
I20231107000983 TX Order and Referring Only - Nurse Practitioner 4385627850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
634624TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daryl C Currier MD PA CurrentSince Aug 8, 2021 Accepting new patients
Daryl C Currier MD PA PastSince Aug 8, 2021 Accepting new patients

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, 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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1225174576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 ASHBY ST STE B",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555154",
            "telephone_number": "830-303-9400",
            "fax_number": "830-303-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PERSON STREET",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "78160",
            "telephone_number": "830-996-3701",
            "fax_number": "830-996-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MANDY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "634624",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP110180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockdale, TX

Sources for this page

Verify at the official NPI Registry.