Individual provider Active NPI

Nathan Daniel Davila

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679967483
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP127719 Issued in TX
Practice address
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone
(210) 757-2200
NPI assigned
Mar 19, 2015
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP127719 TX Primary
Family Nurse Practitioner 363LF0000X AP127719 TX

Addresses

Primary practice location

1310 McCullough Ave
San Antonio, TX 78212-5601

Mailing address

2519 Tuscan Oaks
San Antonio, TX 78261-2652
Phone (210) 286-6527

Other practice location 1

2550 Gray Falls Dr Ste 150
Houston, TX 77077-6687
Phone (888) 908-0553

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
I20150612000387 TX Practitioner - Nurse Practitioner 5597076893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bexar Emergency Physicians PLLCGroup PAC ID 4981049129, 45 clinicians

Practice addresses (Care Compare)

2827 Babcock Rd
San Antonio, TX 78229-4813
Phone (210) 705-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127719TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar Emergency Physicians, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Jan 11, 2021 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jun 21, 2022 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

2550 Gray Falls Dr
Ste 150
Houston, TX 77077
Phone (713) 422-2920

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

4335 W Piedras Dr
Ste 101
San Antonio, TX 78228
Phone (210) 891-5235

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

Hospital & facility affiliations 1

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": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1679967483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 TUSCAN OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612652",
            "telephone_number": "210-286-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125601",
            "telephone_number": "210-757-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Gray Falls Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770776687",
            "country_code": "US",
            "telephone_number": "888-908-0553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP127719",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.