Individual provider Active NPI

Gabriella Lombardo Mutschlechner, FNP-C

  • Primary Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1649862202
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1111972 Issued in TX
Practice address
2829 Babcock Rd Ste 117
San Antonio, TX 78229-6009
Phone
(210) 341-9614
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 836313 TX
Primary Care Nurse Practitioner 363LP2300X 1111972 TX Primary

Addresses

Primary practice location

2829 Babcock Rd Ste 117
San Antonio, TX 78229-6009

Mailing address

2829 Babcock Rd Ste 117
San Antonio, TX 78229-6009
Phone (210) 341-9614

Other practice location 1

317 Cordova Loop
Seguin, TX 78155-0114
Phone (512) 213-8209

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
I20230317002215 TX Practitioner - Nurse Practitioner 4284008004 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
836313TXMDRegistered Nurse
1111972TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Family Medicine LLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

1583 E Common St
Ste 100
New Braunfels, TX 78130
Phone (830) 387-4790

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

10423 State Highway 151
Ste 101
San Antonio, TX 78251
Phone 21034196149

2829 Babcock Rd
Ste 117
San Antonio, TX 78229
Phone (210) 460-9672

2318 Pat Booker Rd
Universal Cty, TX 78148
Phone (210) 659-0323

Interoperability endpoints

  • Direct secure messaging: gabriella.mutschlechner.1@32578.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1649862202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296009",
            "telephone_number": "210-341-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296009",
            "telephone_number": "210-341-9614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Cordova Loop",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781550114",
            "country_code": "US",
            "telephone_number": "512-213-8209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTSCHLECHNER",
        "first_name": "GABRIELLA",
        "middle_name": "LOMBARDO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "836313",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1111972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.