Individual provider Active NPI

Nicholas Aaron Davila, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1629324678
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
760287 Issued in TX
Practice address
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone
(210) 757-2280
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 760287 TX Primary
Nurse Practitioner 363L00000X 760287 TX

Addresses

Primary practice location

1310 McCullough Ave
San Antonio, TX 78212-5601

Mailing address

320 Saddle RDG
Cibolo, TX 78108-4357
Phone (210) 748-6563

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
I20120928000473 TX Practitioner - Nurse Practitioner 8123277548 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
760287TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar Emergency Physicians, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Comal Emergency Physicians, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 6, 2021 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 6, 2021 Accepting new patients

Locations

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

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

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

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159

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

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

11503 NW Military Hwy
Ste 122
San Antonio, TX 78231
Phone (210) 853-1500

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

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

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

Organizations & group practices 6

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1629324678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SADDLE RDG",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781084357",
            "telephone_number": "210-748-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125601",
            "telephone_number": "210-757-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "NICHOLAS",
        "middle_name": "AARON",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "760287",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "760287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.