Active NPI
Gabriella Lombardo Mutschlechner, FNP-C
- Primary Care Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1111972
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 836313 | TX | MD | Registered Nurse |
| 1111972 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Family Medicine LLC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.