Kay Gritzke Banus

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

618778 Issued in TX

Practice address

15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983

Phone

(210) 646-1570

Fax

(210) 697-2401

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1477055127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD STE 15",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480983",
            "telephone_number": "210-646-1570",
            "fax_number": "210-697-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD STE 15",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480983",
            "telephone_number": "210-646-1570",
            "fax_number": "210-697-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUS",
        "first_name": "KAY",
        "middle_name": "GRITZKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TX",
            "license": "L-16156",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "618778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surbhi Banubakode
• Angelina S Banuelos-Gonzalez, RDN
• Alma Banuelos, LPC-S
• Elizabeth Banuelos, COTA
• Polo Alberto Banuelos, M.D.
• Bao Nguyen, D.C., P.a.
• Lisa Bao, MAT, LAT, ATC, CES
• Ryan Nghi Bao, DO
• Baptist Diagnostics, LLC
• Baptist Health System

• Lactation Consultant (Registered Nurse) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.