Kylie Lauren Villegas

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15623 Issued in TX

Practice address

9898 Colonnade Blvd Apt 6207
San Antonio, TX 78230-2271

Phone

(361) 550-8412

NPI assigned

Aug 19, 2021

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jagannath LLCGroup PAC ID 3971668351, 12 clinicians

Quality Care Clinic LLCGroup PAC ID 3779742713, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jagannath LLC

  dba Quality Urgent Care of America

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1700038239
  Medicare reassignment Care Compare group
• Quality Care Clinic LLC

  dba Quality Urgent Care

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1497034946
  Medicare reassignment Care Compare group
• Sona LLC of Texas

  dba Quality Urgent Care of America

  • Urgent Care Clinic/Center
  • Schertz, TX
  • NPI 1598087207
  Medicare reassignment

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1700552791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3698 CHAMBERS PASS BLDG 3611",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347766",
            "telephone_number": "210-916-5658",
            "fax_number": "210-271-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 COLONNADE BLVD APT 6207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302271",
            "telephone_number": "361-550-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "KYLIE",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15623",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalia Villegas-Gonzalez, FNP
• Andrew Estevan Villegas, BCBA1077001
• Daniel Villegas, ATC
• David Yadiel Villegas, RBT
• Jessie Zepeda Villegas, L.AC.
• Lauren Lee Rebecca Villegas, DO
• Lucy Marie Villegas
• Manuel Diaz Villegas, HIS
• Ressiel Nicole Castro Villegas, DO, MPH
• Rolando Rene Villegas, MAT, LAT, ATC

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.