Individual provider Active NPI

Caitlin Feller Stork, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1275254542
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1095386 Issued in TX
Practice address
7115 Fairlawn Dr
San Antonio, TX 78223-4022
Phone
(210) 331-2600
NPI assigned
Sep 6, 2022
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 1095386 TX Primary

Addresses

Primary practice location

7115 Fairlawn Dr
San Antonio, TX 78223-4022

Mailing address

7115 Fairlawn Dr
San Antonio, TX 78223-4022
Phone (210) 337-2600

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
I20221207000061 TX Practitioner - Nurse Practitioner 7012386410 Reassigns benefits to 1 organization

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
Robert Ching DO PAGroup PAC ID 0345498184, 3 clinicians

Practice addresses (Care Compare)

7115 Fairlawn Dr
San Antonio, TX 78223-4022
Phone (210) 337-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1095386TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Ching DO PA CurrentSince Oct 1, 2022 Accepting new patients

Locations

1150 N Loop 1604 W
San Antonio, TX 78248
Phone (210) 408-8145

7115 Fairlawn Dr
San Antonio, TX 78223
Phone (210) 331-2600

Organizations & group practices 1

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1275254542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 FAIRLAWN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234022",
            "telephone_number": "210-337-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 FAIRLAWN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234022",
            "telephone_number": "210-331-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORK",
        "first_name": "CAITLIN",
        "middle_name": "FELLER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.