Individual provider Active NPI

Ashley Nickole Bywater, LVN

  • Licensed Vocational Nurse
  • San Antonio, TX
National Provider Identifier
1497327084
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
336324 Issued in TX
Practice address
7428 W Military Dr Ste D
San Antonio, TX 78227-3010
Phone
(210) 673-8111
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 336324 TX Primary

Addresses

Primary practice location

7428 W Military Dr Ste D
San Antonio, TX 78227-3010

Mailing address

7428 W Military Dr Ste D
San Antonio, TX 78227-3010
Phone (210) 673-8111

Other names 1

  • Ashley Nickole Giles Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abywater@medmark.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
336324TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medmark Treatment Centers of Texas, Inc. CurrentSince Apr 14, 2024 Accepting new patients

Locations

7428 W Military Dr
Ste D
San Antonio, TX 78227
Phone (210) 673-8111

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1497327084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 W MILITARY DR STE D",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782273010",
            "telephone_number": "210-673-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7428 W MILITARY DR STE D",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782273010",
            "telephone_number": "210-673-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYWATER",
        "first_name": "ASHLEY",
        "middle_name": "NICKOLE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "336324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abywater@medmark.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7428 W Military Dr Ste D",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782273010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GILES",
            "middle_name": "NICKOLE",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.