Active NPI
Gwenda Stewart-Reyes, FNP
- Family Nurse Practitioner
- Temple, TX
National Provider Identifier
1699784173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP105545
- Practice address
- 2401 S 31St St
Temple, TX 76508-0903 - Phone
- (254) 724-2111
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP105545 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-0903
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 358-3555
Other practice location 2
8300 Floyd Curl Dr Fl 3
San Antonio, TX 78229-3931
Phone (210) 450-4888
Other practice location 3
2829 Babcock Rd Ste 235
San Antonio, TX 78229-6010
Phone (210) 450-4888
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041450001 | Medicaid | TX | |
| 041450004 | Other | TX | CIDC |
| 041450005 | Medicaid | TX | |
| 041450006 | Other | TX | CSHCN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2328 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
| AP105545 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1699784173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080903",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [
{
"address_1": "903 W Martin St",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782070903",
"country_code": "US",
"telephone_number": "210-358-3555",
"fax_number": "210-358-5945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8300 Floyd Curl Dr Fl 3",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293931",
"country_code": "US",
"telephone_number": "210-450-4888",
"fax_number": "210-450-6018",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2829 Babcock Rd Ste 235",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782296010",
"country_code": "US",
"telephone_number": "210-450-4888",
"fax_number": "210-450-6018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART-REYES",
"first_name": "GWENDA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP105545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041450001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIDC",
"identifier": "041450004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041450005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "041450006",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.