Individual provider Active NPI

Andrea Seely

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1255710026
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP127921 Issued in TX
Practice address
1975 Babcock Rd
San Antonio, TX 78229-4584
Phone
(210) 200-7022
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP127921 TX Primary

Addresses

Primary practice location

1975 Babcock Rd
San Antonio, TX 78229-4584

Mailing address

1975 Babcock Rd
San Antonio, TX 78229-4584

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
I20151020001552 TX Practitioner - Nurse Practitioner 7214246990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southtown Psychiatry PLLCGroup PAC ID 3274061718, 11 clinicians
Southtown Psychiatry PLLCGroup PAC ID 5698118842, 4 clinicians

Practice addresses (Care Compare)

909 NE Loop
410 Suite 600
San Antonio, TX 78209-1309
Phone (210) 343-5121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southtown Psychiatry PLLC CurrentSince Mar 3, 2024 Accepting new patients
Magnolia Mental Health Current Accepting new patients
Southtown Psychiatry PLLC CurrentSince Jan 1, 2025 Accepting new patients
Hill Country Community MHMR Center Psychiatric/Mental Health CurrentSince Nov 29, 2023 Accepting new patients

Locations

8402 Cross Park Dr
Austin, TX 78754
Phone (512) 215-3900

3340 Plaza 10 Dr
Beaumont, TX 77707
Phone (409) 835-0835

819 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 258-5430

909 NE Loop 410
Ste 600
San Antonio, TX 78209
Phone (210) 332-2727

Organizations & group practices 4

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1255710026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294584",
            "telephone_number": "210-200-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELY",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.