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
- Last updated
- Feb 2, 2016
- 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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.