Individual provider Active NPI

Marie Celeste Loera, M.S.N., R.N., F.N.P.

  • Allergy & Immunology Physician
  • San Antonio, TX
National Provider Identifier
1346533668
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
711500 Issued in TX
Practice address
2414 Babcock Rd Ste 109
San Antonio, TX 78229-4870
Phone
(210) 616-0889
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 711500 TX
Allergy & Immunology Physician 207K00000X 711500 TX Primary

Addresses

Primary practice location

2414 Babcock Rd Ste 109
San Antonio, TX 78229-4870

Mailing address

2414 Babcock Rd Ste 109
San Antonio, TX 78229-4870
Phone (210) 616-0889

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
I20120416000615 TX Practitioner - Nurse Practitioner 9335300540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10447 State Hwy 151
San Antonio, TX 78251-4551
Phone (210) 616-5385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
711500TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Allergy & Asthma Medical Professionals PLLC Allergy & Immunology CurrentSince May 1, 2022 Accepting new patients

Locations

341 E Hildebrand Ave
San Antonio, TX 78212
Phone (210) 616-5385

10447 State Highway 151
San Antonio, TX 78251
Phone (210) 616-5385

7940 Floyd Curl Dr
Ste 1050
San Antonio, TX 78229
Phone (210) 616-5385

3120 Sidney Brooks St
Ste 507A
San Antonio, TX 78235

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1346533668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 BABCOCK RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294870",
            "telephone_number": "210-616-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 BABCOCK RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294870",
            "telephone_number": "210-616-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOERA",
        "first_name": "MARIE",
        "middle_name": "CELESTE",
        "name_prefix": "Ms.",
        "credential": "M.S.N., R.N., F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "711500",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "711500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.