Individual provider Active NPI

Estella Salazar, ACNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1447583042
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP117185 Issued in TX
Practice address
3603 Paesanos Pkwy Ste 205a
San Antonio, TX 78231-1267
Phone
(210) 615-1901
Fax
(210) 615-1905
NPI assigned
Sep 14, 2009
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP117185 TX
Nurse Practitioner 363L00000X AP117185 TX Primary

Addresses

Primary practice location

3603 Paesanos Pkwy Ste 205a
San Antonio, TX 78231-1267

Mailing address

PO Box 117614
Carrollton, TX 75011-7614
Phone (106) 151-9012

Other practice location 1

3903 Wiseman Blvd, Ste 311
San Antonio, TX 78251-4422
Phone (210) 615-1901

Other practice location 2

12602 Toepperwein Road, Ste 218
Live Oak, TX 78233-3271
Phone (210) 615-1901

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
I20150810001522 TX Practitioner - Nurse Practitioner 0042525735 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spcsa PLLC CurrentSince Sep 1, 2018 Accepting new patients
Spcsa PLLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

12602 Toepperwein Rd
Ste 218
Live Oak, TX 78233
Phone (210) 599-3090

3603 Paesanos Pkwy
Ste 205A
San Antonio, TX 78231

3903 Wiseman Blvd
Ste 101
San Antonio, TX 78251
Phone (210) 228-9729

3903 Wiseman Blvd
Ste 311
San Antonio, TX 78251
Phone (210) 593-0578

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1447583042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117614",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750117614",
            "telephone_number": "106-151-9012",
            "fax_number": "210-615-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 205A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311267",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3903 Wiseman Blvd, Ste 311",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514422",
            "country_code": "US",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12602 Toepperwein Road, Ste 218",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333271",
            "country_code": "US",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "ESTELLA",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP117185",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP117185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.