Active NPI
Samuel Garcia, FNP-C
- Family Nurse Practitioner
- Clint, TX
National Provider Identifier
1417434101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137837
- Practice address
- 14588 Alameda Ave
Clint, TX 79836-6111 - Phone
- (915) 790-7829
- NPI assigned
- Jul 25, 2018
- Last updated
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 56059 | NM | |
| Family Nurse Practitioner | 363LF0000X | AP137837 | TX | Primary |
Addresses
Primary practice location
14588 Alameda Ave
Clint, TX 79836-6111
Mailing address
14425 N Loop Dr SPC K
Clint, TX 79836-5313
Phone (915) 790-7829
Other practice location 1
14425 N Loop Dr Spc K
Clint, TX 79836-5313
Phone (915) 790-7829
Other practice location 2
12008 Socorro Road
San Elizario, TX 79849
Phone (915) 790-7829
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 |
|---|---|---|---|
| 56059 | NM | MD | Family Nurse Practitioner |
| AP137837 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Home Health Care Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Clint, TX
- NPI 1154806776
-
- Home Health Agency
- Clint, TX
- NPI 1154739506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1417434101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14425 N LOOP DR SPC K",
"city": "CLINT",
"state": "TX",
"postal_code": "798365313",
"telephone_number": "915-790-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14588 ALAMEDA AVE",
"city": "CLINT",
"state": "TX",
"postal_code": "798366111",
"telephone_number": "915-790-7829"
}
],
"practiceLocations": [
{
"address_1": "14425 N Loop Dr Spc K",
"address_purpose": "LOCATION",
"city": "Clint",
"state": "TX",
"postal_code": "798365313",
"country_code": "US",
"telephone_number": "915-790-7829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12008 Socorro Road",
"address_purpose": "LOCATION",
"city": "San Elizario",
"state": "TX",
"postal_code": "79849",
"country_code": "US",
"telephone_number": "915-790-7829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-25",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "56059",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clint, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.