Individual provider Active NPI

Yvonne Marie Athanatos, APRN FNP-BC

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1407158157
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
554462 Issued in TX
Practice address
1515 Pappas St
Laredo, TX 78041-1705
Phone
(956) 795-8100
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 554462 TX Primary

Addresses

Primary practice location

1515 Pappas St
Laredo, TX 78041-1705

Mailing address

1515 Pappas St
Laredo, TX 78041-1705
Phone (956) 795-8100

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
I20150812007109 TX Practitioner - Nurse Practitioner 2466767025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Med Urgent Care LLCGroup PAC ID 0345541140, 8 clinicians

Practice addresses (Care Compare)

5711 McPherson Rd
Suite 103
Laredo, TX 78041-6838
Phone (956) 602-8595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
554462TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Med Urgent Care LLC CurrentSince May 7, 2016 Accepting new patients
Garza Medical Associates PastSince May 7, 2016 Accepting new patients

Locations

5711 McPherson Rd
Ste 103
Laredo, TX 78041
Phone (956) 568-1350

10901 International Blvd
Ste 200
Laredo, TX 78045
Phone 95660285952469

3120 Pita Mangana Rd
Ste 100
Laredo, TX 78046
Phone (956) 568-1350

Organizations & group practices 2

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1407158157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-795-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-795-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANATOS",
        "first_name": "YVONNE",
        "middle_name": "MARIE",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "554462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.