Individual provider Active NPI

Diana Lopez, FNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1578058947
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP136888 Issued in TX
Practice address
5414 Fredericksburg Rd Ste 100a
San Antonio, TX 78229-3641
Phone
(210) 468-0800
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP136888 TX Primary

Addresses

Primary practice location

5414 Fredericksburg Rd Ste 100a
San Antonio, TX 78229-3641

Mailing address

525 Oak Centre Dr Ste 140
San Antonio, TX 78258-3916
Phone (210) 504-3650

Other practice location 1

525 Oak Centre Dr Ste 140
San Antonio, TX 78258-3916
Phone (210) 504-3650

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
I20180806001093 TX Practitioner - Nurse Practitioner 7416205554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

7622 Louis Pasteur Dr
Suite 100
San Antonio, TX 78229-4019
Phone (210) 614-7840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136888TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jan 1, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 1, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Wellmed Medical Group, PA CurrentSince Apr 1, 2025 Accepting new patients

Locations

4203 E Southcross Blvd
San Antonio, TX 78222

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

740 S Alamo St
San Antonio, TX 78205
Phone (210) 224-7688

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229
Phone (210) 614-7840

19500 Ih 10 W
Stop 24090
San Antonio, TX 78257
Phone (210) 762-3662

Interoperability endpoints

  • Direct secure messaging: diana.lopez@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1578058947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583916",
            "telephone_number": "210-504-3650",
            "fax_number": "210-519-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD STE 100A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293641",
            "telephone_number": "210-468-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Oak Centre Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583916",
            "country_code": "US",
            "telephone_number": "210-504-3650",
            "fax_number": "210-519-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DIANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-01-06",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.