Individual provider Active NPI

Veronica Fernandez, PA

  • Medical Physician Assistant
  • Alice, TX
National Provider Identifier
1629565619
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA11947 Issued in TX
Practice address
700 Flournoy Rd Ste 2a
Alice, TX 78332-4088
Phone
(361) 664-1417
Fax
(361) 384-4368
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA11947 TX Primary

Addresses

Primary practice location

700 Flournoy Rd Ste 2a
Alice, TX 78332-4088

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Other practice location 1

301 S Hillside Dr Ste 5615
Beeville, TX 78102-5307
Phone (361) 362-0307

Other practice location 2

213 S DuVal St
Mathis, TX 78368-2613
Phone (361) 547-4121

Other practice location 3

2542 Central Palm Dr Ste 207
Rio Grande City, TX 78582-6766
Phone (956) 352-1344

Other practice location 4

1302 S St Marys St Ste Abd
Falfurrias, TX 78355
Phone (361) 325-9404

Other practice location 5

1311 E General Cavazos Blvd Ste 303C
Kingsville, TX 78363-7123
Phone (361) 592-3237

Other practice location 6

621 E Sinton St
Sinton, TX 78387-2801
Phone (361) 364-4486

Other practice location 7

1133 E Sinton St
Sinton, TX 78387-2928
Phone (361) 364-4486

Other practice location 8

115 W Main St
Benavides, TX 78341-0641
Phone (361) 256-3663

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
I20240206001345 TX Practitioner - Physician Assistant 9032469168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gauri Kanhere PLLCGroup PAC ID 2062833106, 8 clinicians

Practice addresses (Care Compare)

131 N FM
Rio Grande City, TX 78582-7009
Phone (956) 352-1344

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gauri Kanhere PLLC CurrentSince Jan 2, 2024 Accepting new patients
Community Action Corporation of South Texas CurrentSince Jul 9, 2024 Accepting new patients
Community Action Corporation of South Texas CurrentSince Jul 9, 2024 Accepting new patients
Michael G Fuentes MD PA Past Accepting new patients
Josegauri PA PastSince Nov 28, 2010 Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients
Community Action Corporation of South Texas PastSince Aug 11, 2024 Accepting new patients

Locations

700 Flournoy Rd
Ste 2A
Alice, TX 78332
Phone (361) 664-1417

204 E 1st St
Alice, TX 78332
Phone (361) 664-0145

301 S Hillside Dr
Ste 5615
Beeville, TX 78102
Phone (361) 362-0307

1302 S St Marys St
Ste Abd
Falfurrias, TX 78355
Phone (361) 325-9404

1210 N Retama St
Kingsville, TX 78363
Phone (361) 239-0600

1311 E General Cavazos Blvd
Ste 303C
Kingsville, TX 78363
Phone (361) 592-3237

213 S Duval St
Mathis, TX 78368
Phone (361) 547-4121

131 N FM 3167
Ste C
Rio Grande Cy, TX 78582
Phone (956) 352-1344

2542 Central Palm Dr
Ste 207
Rio Grande Cy, TX 78582
Phone (956) 263-1062

621 E Sinton St
Sinton, TX 78387
Phone (361) 364-4486

1133 E Sinton St
Sinton, TX 78387
Phone (361) 364-4486

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1629565619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-664-0145",
            "fax_number": "361-664-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLOURNOY RD STE 2A",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324088",
            "telephone_number": "361-664-1417",
            "fax_number": "361-384-4368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Hillside Dr Ste 5615",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025307",
            "country_code": "US",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 S DuVal St",
            "address_purpose": "LOCATION",
            "city": "Mathis",
            "state": "TX",
            "postal_code": "783682613",
            "country_code": "US",
            "telephone_number": "361-547-4121",
            "fax_number": "361-384-4254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2542 Central Palm Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785826766",
            "country_code": "US",
            "telephone_number": "956-352-1344",
            "fax_number": "956-352-1343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 S St Marys St Ste Abd",
            "address_purpose": "LOCATION",
            "city": "Falfurrias",
            "state": "TX",
            "postal_code": "78355",
            "country_code": "US",
            "telephone_number": "361-325-9404",
            "fax_number": "361-221-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 E General Cavazos Blvd Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637123",
            "country_code": "US",
            "telephone_number": "361-592-3237",
            "fax_number": "361-221-1856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872801",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "361-364-7385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872928",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "888-848-4259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W Main St",
            "address_purpose": "LOCATION",
            "city": "Benavides",
            "state": "TX",
            "postal_code": "783410641",
            "country_code": "US",
            "telephone_number": "361-256-3663",
            "fax_number": "361-221-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "VERONICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA11947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.