Individual provider Active NPI

Alba Graciela Sierra-Perez, DNP, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1467419119
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
774056 Issued in TX
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
220638501MedicaidTX
421611005MedicaidMO

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
I20240417003307 TX Order and Referring Only - Nurse Practitioner 7810995818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45843KSMDWomen's Health Nurse Practitioner
774056TXMDWomen'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

Verify at the official NPI Registry.