Individual provider Active NPI

Catalina Ice, DNP

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679394100
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1177823 Issued in TX
Practice address
621 Camden St
San Antonio, TX 78215-1612
Phone
(210) 253-3422
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 1177823 TX Primary

Addresses

Primary practice location

621 Camden St
San Antonio, TX 78215-1612

Mailing address

621 Camden St Ste 202
San Antonio, TX 78215-1644
Phone (210) 253-3422

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
I20241219002950 TX Practitioner - Nurse Practitioner 2062949720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

11503 NW Military Hwy
Suite 207
San Antonio, TX 78231-1895
Phone (210) 253-3422

Hospital & facility affiliations

  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Westover Hills Baptist Hospital Hospital, San Antonio, TX, CCN 670333
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1177823TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Single Specialty CurrentSince Nov 4, 2024 Accepting new patients
Texas Digestive Disease Consultants, PLLC Single Specialty CurrentSince Nov 4, 2024 Accepting new patients
Texas Digestive Disease Consultants PLLC Single Specialty CurrentSince Nov 4, 2024 Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

3327 Research Plz
Ste 302
San Antonio, TX 78235
Phone (210) 490-4600

11212 State Highway 151
#115
San Antonio, TX 78251

11503 NW Military Hwy
Ste 207
San Antonio, TX 78231
Phone (210) 817-8080

621 Camden St
Ste 202
San Antonio, TX 78215

Organizations & group practices 3

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 3

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1679394100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CAMDEN ST STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151644",
            "telephone_number": "210-253-3422",
            "fax_number": "210-764-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151612",
            "telephone_number": "210-253-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE",
        "first_name": "CATALINA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1177823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.