Individual provider Active NPI

Adela R Santos, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1295073955
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP122367 Issued in TX
Practice address
6625 Wooldridge Rd Ste 402
Corpus Christi, TX 78414-2916
Phone
(361) 765-4666
Fax
(800) 854-6952
NPI assigned
Jan 30, 2013
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP122367 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP122367 TX Primary

Addresses

Primary practice location

6625 Wooldridge Rd Ste 402
Corpus Christi, TX 78414-2916

Mailing address

353 Merrill Dr
Corpus Christi, TX 78408-3344
Phone (361) 765-4666

Other identifiers 1

IdentifierTypeStateIssuer
AP122367OtherTXAPRN LICENSE

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
I20140403000056 TX Practitioner - Nurse Practitioner 3779714845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turnwell Mental Health of South Texas, PLLCGroup PAC ID 0547780413, 20 clinicians

Practice addresses (Care Compare)

1321 Glenoak Dr
Corpus Christi, TX 78418-5440
Phone (361) 356-1234

6625 Wooldridge Rd
Suite 402
Corpus Christi, TX 78414-2916
Phone (361) 765-4666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP122367TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adela R. Santos, PLLC Psychiatric/Mental Health CurrentSince Aug 21, 2020 Accepting new patients
James M. May, M.D., P.a. PastSince Aug 21, 2020 Accepting new patients

Locations

6625 Wooldridge Rd
Ste 402
Corpus Christi, TX 78414
Phone (361) 765-4666

2726 Highway 35 N
Rockport, TX 78382
Phone (361) 729-5357

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, 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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1295073955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 MERRILL DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784083344",
            "telephone_number": "361-765-4666",
            "fax_number": "800-854-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD STE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-765-4666",
            "fax_number": "800-854-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ADELA",
        "middle_name": "R",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP122367",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP122367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP122367",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.