NPIMap

Organization Active NPI

River City Nurse Management LLC

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679665244
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RIVER CITY NURSE MANAGEMENT LLC
Practice address
8811 Village Dr
Attn Fast Track
San Antonio, TX 78217-5415
Phone
(210) 614-0180
Fax
(210) 615-7170
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Timothy N Taylor, MDNPI 1871588335
Title
Facep
Phone
(210) 614-0180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

8811 Village Dr
Attn Fast Track
San Antonio, TX 78217-5415

Mailing address

8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5907
Phone (210) 614-0180

Other identifiers 2

IdentifierTypeStateIssuer
0033PCOtherTXBCBSTX
186228602MedicaidTX

National Provider Directory

National Provider Directory

Locations

4214 E Southcross Blvd
San Antonio, TX 78222
Phone (210) 297-3000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1679665244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "SUITE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295907",
            "telephone_number": "210-614-0180",
            "fax_number": "210-615-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 VILLAGE DR",
            "address_2": "ATTN FAST TRACK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175415",
            "telephone_number": "210-614-0180",
            "fax_number": "210-615-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY NURSE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FACEP",
        "authorized_official_telephone_number": "210-614-0180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0033PC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186228602",
            "state": "TX"
        }
    ],
    "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 May 19, 2009; 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.