Individual provider Active NPI

Arvidencio Gawili Tawali, FNP-BC

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1275103053
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1034606 Issued in TX
Practice address
555 Creekside Xing
New Braunfels, TX 78130-2594
Phone
(830) 500-6900
NPI assigned
Jun 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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 1034606 TX Primary

Addresses

Primary practice location

555 Creekside Xing
New Braunfels, TX 78130-2594

Mailing address

501 Fall Cir
Kyle, TX 78640-5808
Phone (151) 221-6413

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
I20210902001796 TX Practitioner - Nurse Practitioner 7719383546 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians

Practice addresses (Care Compare)

135 Bunton Creek Rd
Kyle, TX 78640-5787
Phone (512) 268-2068

136 Drifting Wind Run
Suite 117
Dripping Springs, TX 78620-5628
Phone (512) 737-5945

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Urgent Care - Dripping Springs Current Accepting new patients
St. David's Carenow Urgent Care PLLC CurrentSince Oct 10, 2023 Accepting new patients
Fast Track Urgent Care CurrentSince Dec 3, 2024 Accepting new patients
Fast Track Urgent Care - Bastrop CurrentSince Dec 3, 2024 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Dec 1, 2021 Accepting new patients
Usacs Observation Medicine Services of Texas PLLC CurrentSince Jun 15, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

3311 N Lamar Blvd
Austin, TX 78705
Phone (512) 975-7791

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

136 Drifting Wind Run
Ste 117
Dripping Springs, TX 78620
Phone (210) 906-8478

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

135 Bunton Creek Rd
Kyle, TX 78640
Phone (512) 268-2068

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

Organizations & group practices 6

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1275103053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FALL CIR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405808",
            "telephone_number": "151-221-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CREEKSIDE XING",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302594",
            "telephone_number": "830-500-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWALI",
        "first_name": "ARVIDENCIO",
        "middle_name": "GAWILI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1034606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.