Individual provider Active NPI

Gabriella Delossantos, RN

  • Registered Nurse
  • San Antonio, TX
National Provider Identifier
1295219814
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1106093 Issued in TX
Practice address
6810 Arbor Springs Dr
San Antonio, TX 78249-2660
Phone
(210) 602-9525
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10022034 OR
Registered Nurse 163W00000X 217398 CT
Licensed Vocational Nurse 164X00000X 329259 TX
Registered Nurse 163W00000X 1106093 TX Primary

Addresses

Primary practice location

6810 Arbor Springs Dr
San Antonio, TX 78249-2660

Mailing address

6810 Arbor Springs Dr
San Antonio, TX 78249-2660
Phone (210) 602-9525

Other practice location 1

2250 NW Flanders St Ste 111
Portland, OR 97210-5409
Phone (971) 383-4283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
217398CTMDRegistered Nurse
10022034ORMDRegistered Nurse
1106093TXMDRegistered Nurse
329259TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Home Care of Texas, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1295219814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 ARBOR SPRINGS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492660",
            "telephone_number": "210-602-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 ARBOR SPRINGS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492660",
            "telephone_number": "210-602-9525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 NW Flanders St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972105409",
            "country_code": "US",
            "telephone_number": "971-383-4283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOSSANTOS",
        "first_name": "GABRIELLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10022034",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "217398",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "329259",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1106093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.