Active NPI
Alba Graciela Sierra-Perez, DNP, APRN, WHNP-BC
- Women's Health Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1467419119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 774056
- Practice address
- 1303 McCullough Ave
Ste GL70
San Antonio, TX 78212-5631 - Phone
- (210) 226-9705
- Fax
- (210) 223-4555
- NPI assigned
- Apr 27, 2006
- Last updated
- Sep 8, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 45843 | KS | |
| Women's Health Nurse Practitioner | 363LW0102X | 774056 | TX | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 151817 | MO |
Addresses
Primary practice location
1303 McCullough Ave
Ste GL70
San Antonio, TX 78212-5631
Mailing address
1355 Central Pkwy S
Ste 400
San Antonio, TX 78232-5057
Phone (210) 349-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220638501 | Medicaid | TX | |
| 421611005 | Medicaid | MO |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240417003307 | TX | Order and Referring Only - Nurse Practitioner | 7810995818 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45843 | KS | MD | Women's Health Nurse Practitioner |
| 774056 | TX | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504828800000",
"number": "1467419119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 CENTRAL PKWY S",
"address_2": "STE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782325057",
"telephone_number": "210-349-9300",
"fax_number": "210-366-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "STE GL70",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125631",
"telephone_number": "210-226-9705",
"fax_number": "210-223-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA-PEREZ",
"first_name": "ALBA",
"middle_name": "GRACIELA",
"name_prefix": "Mrs.",
"credential": "DNP, APRN, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2017-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KS",
"license": "45843",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "774056",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "151817",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220638501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421611005",
"state": "MO"
}
],
"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 Sep 8, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.