Active NPI
Connie Elizabeth Vick, APRN, FNP-C
- Allergy & Immunology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 1098968
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1098968 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone Oak Allergy PA | Allergy & Immunology | Current | Accepting new patients |
| Neo2Teen Pediatric Clinic, PA | Past | 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
- 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.
-
- Allergy & Immunology Physician
- San Antonio, TX
- NPI 1568711349
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1770023624
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
- Vicdos Health LLC
- Vicente a Rodriguez MD PA (Respiratory Center of South Texas)
- Gabrielle Alexis Quismundo Vicente, DDS
- Shannyn S Vicente, LCSW
- Stefany Michelle Vicente, MD
- Morgan Amanda Vick, BCBA
- Sammy C. Vick, M.D.
- Vickers Corp. (ComForcare Senior Services-West Bexar County)
- Chanda Vickers
- Katherine Vickers, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.