Individual provider Active NPI

Patricia Reider Garcia

  • Case Management Registered Nurse
  • Jbsa Ft. Sam Houston, TX
National Provider Identifier
1689332371
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
453067 Issued in TX
Practice address
Brooke Army Medical Center (McHe-ZMD-Z)
3551 Roger Brooke Drive
Jbsa Ft. Sam Houston, TX 74823-4504
Phone
(210) 916-1680
Fax
(210) 916-7483
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 453067 TX Primary

Addresses

Primary practice location

Brooke Army Medical Center (McHe-ZMD-Z)
3551 Roger Brooke Drive
Jbsa Ft. Sam Houston, TX 74823-4504

Mailing address

Brooke Army Medical Center (McHe-ZMD-Z)
3551 Roger Brooke Drive
Jbsa Ft. Sam Houston, TX 78234-4504
Phone (210) 916-1680

Other identifiers 1

IdentifierTypeStateIssuer
1386291736OtherTXMILITARY TREATMENT FACILITY

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
453067TXMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1689332371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER (MCHE-ZMD-Z)",
            "address_2": "3551 ROGER BROOKE DRIVE",
            "city": "JBSA FT. SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-1680",
            "fax_number": "210-916-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER (MCHE-ZMD-Z)",
            "address_2": "3551 ROGER BROOKE DRIVE",
            "city": "JBSA FT. SAM HOUSTON",
            "state": "TX",
            "postal_code": "748234504",
            "telephone_number": "210-916-1680",
            "fax_number": "210-916-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PATRICIA",
        "middle_name": "REIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "453067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY TREATMENT FACILITY",
            "identifier": "1386291736",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Ft. Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.