Individual provider Active NPI

Marika Joyce Superales, RN

  • Registered Nurse
  • San Antonio, TX
National Provider Identifier
1629559018
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
934808 Issued in TX
Practice address
8700 Crownhill Blvd Ste 300
San Antonio, TX 78209-1128
Phone
(210) 824-5530
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 934808 TX Primary

Addresses

Primary practice location

8700 Crownhill Blvd Ste 300
San Antonio, TX 78209-1128

Mailing address

526 Oakmont Way
Cibolo, TX 78108-4348
Phone (706) 536-3719

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
934808TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Health Services, LLC Past Accepting new patients

Organizations & group practices 1

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1629559018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 OAKMONT WAY",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781084348",
            "telephone_number": "706-536-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091128",
            "telephone_number": "210-824-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPERALES",
        "first_name": "MARIKA JOYCE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "934808",
            "primary": true
        }
    ],
    "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 Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.