Blanca Celina Quintanilla, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1165332 Issued in TX

Practice address

125 Medical Park LN Ste C
Huntsville, TX 77340-4957

Phone

(936) 291-3219

Fax

(936) 291-7206

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blanca.quintanilla.1@13218.direct.athenahealth.com

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.

• Huntsville Community Hospital, Inc.

  • Rural Health Clinic/Center
  • Huntsville, TX
  • NPI 1306484050

  Multi-Specialty, TX

  Medicare reassignment NPD
• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  FL, Multi-Specialty

  Medicare reassignment NPD
• Florida Medical Associates LLC

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1336153709

  FL, Multi-Specialty

  Medicare reassignment NPD
• Huntsville Community Hospital, Inc.

  • Anesthesiology Physician
  • Huntsville, TX
  • NPI 1336875616

  Multi-Specialty

  NPD
• Primary Medical Care R Ayala MD PA

  • Multi-Specialty Clinic/Center
  • Dade City, FL
  • NPI 1790799526

  Multi-Specialty

  NPD
• Huntsville Community Hospital, Inc.

  • Orthopaedic Surgery Physician
  • Huntsville, TX
  • NPI 1255925905

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1306387204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4001",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773424001",
            "telephone_number": "936-291-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEDICAL PARK LN STE C",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404957",
            "telephone_number": "936-291-3219",
            "fax_number": "936-291-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "BLANCA",
        "middle_name": "CELINA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1165332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Push Medical Services
• Push Medical Services
• Push Medical Services & Laboratory
• PWD Dentistry Management LLC
• Kailey Pyle
• R. Karl Mahaffey, MD P.a.
• Amy Eva Rain, APRN, FNP-C
• Rumisa Raoof, MD
• Tolani Azizat Rasaki-Carrier
• Jamalyn Rascher, PHARM.D, R.PH.

• All providers in Huntsville, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.