Organization Active NPI

Hill Country Integrative Medicine

  • Family Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1477933851
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5643 Issued in TX
Legal business name
HILL COUNTRY INTEGRATIVE MEDICINE
Practice address
1603 E Main St Unit a
Fredericksburg, TX 78624-5450
Phone
(830) 998-0170
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Christa O'Leary, D.O.
Title
Owner
Phone
(830) 998-0170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K5643 TX Primary

Addresses

Primary practice location

1603 E Main St Unit a
Fredericksburg, TX 78624-5450

Mailing address

106 E Morse St
Fredericksburg, TX 78624-3926
Phone (830) 998-0170

Other identifiers 2

IdentifierTypeStateIssuer
1750326112OtherTXINDIVIDUAL NPI
TXB109563OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1477933851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MORSE ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243926",
            "telephone_number": "830-998-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E MAIN ST UNIT A",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245450",
            "telephone_number": "830-998-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-998-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1750326112",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB109563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.