Individual provider Active NPI

Thomas A Dietz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Schertz, TX
National Provider Identifier
1356982656
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
869587 Issued in TX
Practice address
2828 Lotus Park
Schertz, TX 78154-3740
Phone
(210) 239-3009
Fax
(210) 405-9994
NPI assigned
Oct 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 869587 TX Primary

Addresses

Primary practice location

2828 Lotus Park
Schertz, TX 78154-3740

Mailing address

2828 Lotus Park
Schertz, TX 78154-3740
Phone (210) 239-3009

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
I20191031001621 TX Practitioner - Nurse Practitioner 8729310313 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Thomas a Dietz NP PLLC Psychiatric/Mental Health CurrentSince Nov 21, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2019 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2019 Accepting new patients

Locations

7526 Louis Pasteur Dr
San Antonio, TX 78229
Phone (210) 450-6440

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Organizations & group practices 4

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1356982656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 LOTUS PARK",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543740",
            "telephone_number": "210-239-3009",
            "fax_number": "210-405-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 LOTUS PARK",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543740",
            "telephone_number": "210-239-3009",
            "fax_number": "210-405-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "869587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.