Active NPI
Icelind Ruby Gallardo
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1074110
- Practice address
- 7603 Culebra Rd
San Antonio, TX 78251-1437 - Phone
- (663) 892-7278
- NPI assigned
- Jun 19, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 787387 | CA | |
| Family Nurse Practitioner | 363LF0000X | 1074110 | TX | Primary |
Addresses
Primary practice location
7603 Culebra Rd
San Antonio, TX 78251-1437
Mailing address
7603 Culebra Rd
San Antonio, TX 78251-1437
Phone (663) 892-7278
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.85 of 100
- Quality
- 78.01
- Improvement activities
- 40
- Cost
- 79.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 787387 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Texas PLLC | Current | Accepting new patients | |
| Primary Care PLLC | Family | Current | Accepting new patients |
| Minuteclinic Telehealth Services of Texas Association | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Texas PLLC | Family | Current | Accepting new patients |
Locations
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
5002 W Main St
League City, TX 77573
Phone (281) 557-4374
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846
9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
23530 Wilderness Oak
San Antonio, TX 78258
Phone (210) 385-8306
5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311
7603 Culebra Rd
San Antonio, TX 78251
Phone (210) 680-0299
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.
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1609076330
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1922564301
-
- Clinical Social Worker
- Katy, TX
- NPI 1740898188
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1770354763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707523200000",
"number": "1427588797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7603 CULEBRA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782511437",
"telephone_number": "663-892-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7603 CULEBRA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782511437",
"telephone_number": "663-892-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLARDO",
"first_name": "ICELIND",
"middle_name": "RUBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2024-02-10",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "787387",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1074110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.