Individual provider Active NPI

Adrianna Quintanilla, A-GNP-C

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1265131510
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1113491 Issued in TX
Practice address
23119 W Interstate 10 Ste 9
San Antonio, TX 78257-1764
Phone
(210) 972-8058
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG01230015 TX
Gerontology Nurse Practitioner 363LG0600X 1113491 TX Primary

Addresses

Primary practice location

23119 W Interstate 10 Ste 9
San Antonio, TX 78257-1764

Mailing address

17050 Ashbury LDG
San Antonio, TX 78247-5826
Phone (210) 213-7812

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
I20230410000759 TX Practitioner - Nurse Practitioner 1052786845 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care Physicians PLLCGroup PAC ID 3779996590, 43 clinicians

Practice addresses (Care Compare)

4553 N Loop 1604
Suite 1119
San Antonio, TX 78249-1364
Phone (210) 741-8782

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG01230015TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Care Physicians PLLC CurrentSince Mar 15, 2023 Accepting new patients
TCP Health Sa PLLC CurrentSince Sep 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas - Amarillo, PLLC CurrentSince Nov 15, 2025 Accepting new patients

Locations

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

4553 N Loop 1604 W
Ste 1119
San Antonio, TX 78249
Phone (210) 741-8782

22211 W Interstate 10
Ste 1206
San Antonio, TX 78257
Phone (210) 888-0368

23119 W Interstate 10
Bldg 9
San Antonio, TX 78257
Phone (210) 944-8855

Organizations & group practices 3

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1265131510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 ASHBURY LDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475826",
            "telephone_number": "210-213-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 W INTERSTATE 10 STE 9",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571764",
            "telephone_number": "210-972-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "ADRIANNA",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AG01230015",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1113491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.