Individual provider Active NPI

Eliza Carston

  • Registered Nurse
  • San Antonio, TX
National Provider Identifier
1659191112
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1032544 Issued in TX
Practice address
4334 N Loop 1604 W Ste 103
San Antonio, TX 78249-3485
Phone
(210) 918-8737
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 1032544 TX Primary

Addresses

Primary practice location

4334 N Loop 1604 W Ste 103
San Antonio, TX 78249-3485

Mailing address

5020 Manor Rd Apt 148
Austin, TX 78723-5305
Phone (757) 777-8075

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

State licenses

LicenseStateTypeSpecialty
1032544TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1659191112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 MANOR RD APT 148",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235305",
            "telephone_number": "757-777-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 N LOOP 1604 W STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493485",
            "telephone_number": "210-918-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSTON",
        "first_name": "ELIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1032544",
            "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 Oct 10, 2024; 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.