Individual provider Active NPI

Connie Elizabeth Vick, APRN, FNP-C

  • Allergy & Immunology Physician
  • San Antonio, TX
National Provider Identifier
1487363941
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
1098968 Issued in TX
Practice address
525 Oak Centre Dr Ste 110
San Antonio, TX 78258-3935
Phone
(210) 494-0690
Fax
(210) 494-0920
NPI assigned
Nov 22, 2022
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1098968 TX
Allergy & Immunology Physician 207K00000X 1098968 TX Primary

Addresses

Primary practice location

525 Oak Centre Dr Ste 110
San Antonio, TX 78258-3935

Mailing address

525 Oak Centre Dr Ste 110
San Antonio, TX 78258-3935
Phone (210) 494-0690

Other practice location 1

1320 Wonder World Dr Ste 105
San Marcos, TX 78666-7558
Phone (210) 494-0690

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
I20241031002143 TX Practitioner - Nurse Practitioner 0648703496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Oak Allergy PAGroup PAC ID 9638314529, 3 clinicians

Practice addresses (Care Compare)

525 Oak Centre Dr
Suite 110
San Antonio, TX 78258-3935
Phone (210) 494-0690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1098968TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Oak Allergy PA Allergy & Immunology CurrentSince Oct 14, 2024 Accepting new patients
Neo2Teen Pediatric Clinic, PA PastSince Nov 27, 2022 Accepting new patients

Locations

11762 Jollyville Rd
Austin, TX 78759
Phone (512) 258-2300

303 E Main St
Round Rock, TX 78664

525 Oak Centre Dr
Ste 110
San Antonio, TX 78258
Phone (210) 494-0690

1320 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (210) 494-0690

601A Leah Ave
San Marcos, TX 78666
Phone (210) 497-3972

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15846/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1487363941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583935",
            "telephone_number": "210-494-0690",
            "fax_number": "210-494-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583935",
            "telephone_number": "210-494-0690",
            "fax_number": "210-494-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Wonder World Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667558",
            "country_code": "US",
            "telephone_number": "210-494-0690",
            "fax_number": "210-494-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICK",
        "first_name": "CONNIE",
        "middle_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1098968",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "1098968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.