Individual provider Active NPI

Kerry Alyson Ramirez

  • Psychiatric/Mental Health Nurse Practitioner
  • Universal City, TX
National Provider Identifier
1568173136
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1100170 Issued in TX
Practice address
8302 Delphian Dr
Universal City, TX 78148-2518
Phone
(325) 513-0553
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1100170 TX Primary

Addresses

Primary practice location

8302 Delphian Dr
Universal City, TX 78148-2518

Mailing address

8302 Delphian Dr
Universal City, TX 78148-2518
Phone (325) 513-0553

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
I20230427002044 TX Practitioner - Nurse Practitioner 3072978949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centric Physicians Group PLLCGroup PAC ID 1951614726, 22 clinicians
Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians
Healthdrive Medical Services Southeast LLCGroup PAC ID 4284075722, 29 clinicians

Practice addresses (Care Compare)

17 Old San Antonio Rd
Suite 201
Boerne, TX 78006-3495
Phone (830) 214-7714

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1100170TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coe-Medical PLLC CurrentSince Jul 8, 2024 Accepting new patients
Healthdrive Medical Services of Texas LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141

7700 Mesquite Pass
Converse, TX 78109
Phone (210) 650-0551

1208 N Llano St
Fredericksburg, TX 78624
Phone (830) 997-3704

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

3935 Medical Dr
San Antonio, TX 78229
Phone (210) 614-4888

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1568173136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 DELPHIAN DR",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482518",
            "telephone_number": "325-513-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 DELPHIAN DR",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482518",
            "telephone_number": "325-513-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "KERRY",
        "middle_name": "ALYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1100170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

Verify at the official NPI Registry.