Individual provider Active NPI

Christina Bricout, APN

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1508485970
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1131025 Issued in TX
Practice address
23119 W Interstate 10 BLDG 9
San Antonio, TX 78257-1767
Phone
(210) 972-8058
Fax
(210) 899-1613
NPI assigned
Apr 15, 2020
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1131025 TX Primary

Addresses

Primary practice location

23119 W Interstate 10 BLDG 9
San Antonio, TX 78257-1767

Mailing address

15207 Fall Ridge Dr
San Antonio, TX 78247-3222
Phone (616) 402-0963

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
I20240215000300 TX Practitioner - Nurse Practitioner 6103247812

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10528 Culebra Rd
Suite 104
San Antonio, TX 78251-3659

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caylor Hospice LLC CurrentSince Nov 1, 2025 Accepting new patients
Texas Senior Care at Home LLC Gerontology CurrentSince Nov 1, 2025 Accepting new patients

Locations

1100 NE Loop 410
Ste 706
San Antonio, TX 78209
Phone (210) 874-4999

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1508485970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15207 FALL RIDGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473222",
            "telephone_number": "616-402-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 W INTERSTATE 10 BLDG 9",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571767",
            "telephone_number": "210-972-8058",
            "fax_number": "210-899-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICOUT",
        "first_name": "CHRISTINA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1131025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.