Active NPI
Donna Wetzel Kerry, NP-C
- Family Nurse Practitioner
- Corpus Christi, TX
National Provider Identifier
1366744708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP125156
- Practice address
- 1660 S Staples St
Ste 150
Corpus Christi, TX 78404-3173 - Phone
- (361) 800-8155
- Fax
- (361) 882-2590
- NPI assigned
- Nov 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP125156 | TX | Primary |
Addresses
Primary practice location
1660 S Staples St
Ste 150
Corpus Christi, TX 78404-3173
Mailing address
1660 S Staples St
Ste 150
Corpus Christi, TX 78404-3173
Phone (361) 800-8155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 396630YLPS | Other | TX | WNI PTAN |
| 348993201 | Medicaid | TX |
Other names 1
- Donna Wetzel
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP125156 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Pueblo Healthcare LLC | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1366744708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S STAPLES ST",
"address_2": "STE 150",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784043173",
"telephone_number": "361-800-8155",
"fax_number": "361-882-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S STAPLES ST",
"address_2": "STE 150",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784043173",
"telephone_number": "361-800-8155",
"fax_number": "361-882-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRY",
"first_name": "DONNA",
"middle_name": "WETZEL",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP125156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WNI PTAN",
"identifier": "396630YLPS",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348993201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "WETZEL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.