Active NPI
Kayla Rae Pineda
- Licensed Vocational Nurse
- San Antonio, TX
National Provider Identifier
1699360651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 352895
- Practice address
- 7428 W Military Dr Ste D
San Antonio, TX 78227-3010 - Phone
- (210) 673-8111
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 352895 | TX | Primary |
Addresses
Primary practice location
7428 W Military Dr Ste D
San Antonio, TX 78227-3010
Mailing address
7132 Bandera Rd Unit 36
San Antonio, TX 78238-1276
Phone (830) 275-0451
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
| License | State | Type | Specialty |
|---|---|---|---|
| 352895 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medmark Treatment Centers of Texas, Inc. | Current | Accepting new patients |
Locations
7428 W Military Dr
Ste D
San Antonio, TX 78227
Phone (210) 673-8111
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1346671013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1699360651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7132 BANDERA RD UNIT 36",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381276",
"telephone_number": "830-275-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7428 W MILITARY DR STE D",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782273010",
"telephone_number": "210-673-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "KAYLA",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "352895",
"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 Mar 2, 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.