Individual provider Active NPI

Aunella Coulthirst, NP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1285945097
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP108977 Issued in TX
Practice address
4101 S Staples St
Corpus Christi, TX 78411-5501
Phone
(361) 883-8001
Fax
(361) 814-0000
NPI assigned
Jun 25, 2010
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 AP108977 TX Primary

Addresses

Primary practice location

4101 S Staples St
Corpus Christi, TX 78411-5501

Mailing address

4101 S Staples St
Corpus Christi, TX 78411-5501
Phone (361) 883-8001

Other identifiers 2

IdentifierTypeStateIssuer
8C7562YLPSOtherTXWELLMED PTAN
143139702MedicaidTX

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
I20041109000970 TX Practitioner - Nurse Practitioner 9931162088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

4101 S Staples St
Corpus Christi, TX 78411-5501
Phone (361) 883-8001

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP108977TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Oct 1, 2013 Accepting new patients
Wellmed Medical Group, PA CurrentSince Nov 10, 2019 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Oct 1, 2013 Accepting new patients
Psychiatric Consulting Services PastSince Jul 13, 1993 Accepting new patients
Complete Medical Care PA Past Accepting new patients

Locations

2601 Hospital Blvd
Ste 215
Corpus Christi, TX 78405
Phone (512) 887-9600

3262 S Alameda St
Corpus Christi, TX 78404
Phone (361) 814-2441

4101 S Staples St
Corpus Christi, TX 78411
Phone (361) 883-8001

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: aunella.coulthirst@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1285945097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115501",
            "telephone_number": "361-883-8001",
            "fax_number": "361-814-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115501",
            "telephone_number": "361-883-8001",
            "fax_number": "361-814-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTHIRST",
        "first_name": "AUNELLA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP108977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "8C7562YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143139702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.