Pedro Sixtos

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

215636 Issued in TX

Practice address

145 Willow BLF
Cibolo, TX 78108-2259

Phone

(210) 474-6469

NPI assigned

Aug 24, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1700367026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 KENSINGER PASS",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WILLOW BLF",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781082259",
            "telephone_number": "210-474-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIXTOS",
        "first_name": "PEDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "215636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Alise Shipman, RN
• Kristina Shipp, LMT, MTI
• Katrina Marie Siefken
• Keith T Simmons
• Bisirat Sium, LCSW
• Thomas Arthur Small, PA-C
• Jessica Marie Smarro, LCSW
• Smith Primary Home Care LLC
• Margaret Lynn Smith
• Tammy Lee Smith

• Licensed Vocational Nurse in Cibolo, TX
• Providers in Cibolo, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.