Active NPI
Cheryl A Koone, FNP
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1528609708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP144176
- Practice address
- 19296 Stone Oak Pkwy
San Antonio, TX 78258-3222 - Phone
- (210) 871-9767
- NPI assigned
- Sep 30, 2019
- Last updated
- Dec 2, 2019
- 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 | AP144176 | TX | Primary |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 676482 | TX |
Addresses
Primary practice location
19296 Stone Oak Pkwy
San Antonio, TX 78258-3222
Mailing address
9222 Ridge Town
San Antonio, TX 78250-4077
Phone (210) 872-5426
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 676482 | TX | MD | Ambulatory Women's Health Care Registered Nurse |
| AP144176 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Fertility Institute, Inc. | Past | Accepting new patients | |
| Aspire Fertility Institute Houston | Past | Accepting new patients |
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.
-
- Reproductive Endocrinology Physician
- Houston, TX
- NPI 1922480482
-
- Reproductive Endocrinology Physician
- San Antonio, TX
- NPI 1487268223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1528609708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9222 RIDGE TOWN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782504077",
"telephone_number": "210-872-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19296 STONE OAK PKWY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583222",
"telephone_number": "210-871-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOONE",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144176",
"primary": true
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "TX",
"license": "676482",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.