Individual provider Active NPI

Thomas C Lopez, CPNP-AC

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1518677327
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1099961 Issued in TX
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-4100
NPI assigned
Dec 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1099961 TX
Acute Care Nurse Practitioner 363LA2100X 1099961 TX Primary

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

11503 NW Military Hwy Ste 202
San Antonio, TX 78231-1895
Phone (210) 233-6363

Other practice location 1

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-7777

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
I20230124000362 TX Practitioner - Nurse Practitioner 4880065226 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Mar 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Greater San Antonio Emergency Physicians, PA PastSince Dec 6, 2022 Accepting new patients

Locations

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

Organizations & group practices 3

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1518677327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311895",
            "telephone_number": "210-233-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293902",
            "country_code": "US",
            "telephone_number": "210-575-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1099961",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1099961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.