Active NPI
Clear Vision, LLC
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1457692840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 458635
- Legal business name
- CLEAR VISION, LLC
- Practice address
- 1222 N Main Ave Ste 740
San Antonio, TX 78212-5711 - Phone
- (210) 273-9931
- NPI assigned
- Mar 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rochelle L Staten, RN, MSN, MHSA
- Title
- Sole Owner
- Phone
- (210) 273-9931
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 458635 | TX | Primary |
Addresses
Primary practice location
1222 N Main Ave Ste 740
San Antonio, TX 78212-5711
Mailing address
9832 Logans Ridge Dr
Converse, TX 78109-2765
Phone (210) 273-9931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8930 Fourwinds Dr
#250
Windcrest, TX 78239
Phone (210) 273-9931
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- San Antonio, TX
- NPI 1679671523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362700800000",
"number": "1457692840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9832 LOGANS RIDGE DR",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781092765",
"telephone_number": "210-273-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 N MAIN AVE STE 740",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125711",
"telephone_number": "210-273-9931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR VISION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-08",
"last_updated": "2013-03-08",
"status": "A",
"authorized_official_last_name": "STATEN",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "210-273-9931",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, MSN, MHSA"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "458635",
"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 Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.