Individual provider Active NPI

Kayla Starr, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1225840515
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1178460 Issued in TX
Practice address
22250 Bulverde Rd Ste 111
San Antonio, TX 78261-3082
Phone
(210) 899-4490
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 1178460 TX Primary

Addresses

Primary practice location

22250 Bulverde Rd Ste 111
San Antonio, TX 78261-3082

Mailing address

110 Creekview Dr
Canyon Lake, TX 78133-4349
Phone (512) 565-5660

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
I20250714003302 TX Practitioner - Nurse Practitioner 5991210478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Primary Care Group IncGroup PAC ID 7315259603, 2 clinicians

Practice addresses (Care Compare)

22250 Bulverde Rd
Suite 111
San Antonio, TX 78261-3082
Phone (210) 899-4490

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1178460TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care Group Inc. CurrentSince Jun 1, 2025 Accepting new patients
Harmony Wellness Clinic, PLLC PastSince Sep 15, 2024 Accepting new patients

Locations

21920 Bulverde Rd
Ste 101
San Antonio, TX 78259
Phone (210) 899-4494

22250 Bulverde Rd
Ste 111
San Antonio, TX 78261
Phone (210) 899-4490

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": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1225840515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CREEKVIEW DR",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334349",
            "telephone_number": "512-565-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 BULVERDE RD STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613082",
            "telephone_number": "210-899-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1178460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.