Individual provider Active NPI

Teresa Rios Valadez, FNP- BC

  • Primary Care Nurse Practitioner
  • Crystal City, TX
National Provider Identifier
1720756612
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1045215 Issued in TX
Practice address
PO Box 397
Crystal City, TX 78839-0397
Phone
(830) 448-5301
NPI assigned
Sep 3, 2021
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1045215 TX
Primary Care Nurse Practitioner 363LP2300X 1045215 TX Primary
Registered Nurse 163W00000X 694444 TX

Addresses

Primary practice location

PO Box 397
Crystal City, TX 78839-0397

Mailing address

PO Box 397
Crystal City, TX 78839-0397
Phone (210) 501-4989

Other practice location 1

300 El Rancho Way
Dilley, TX 78017-4200
Phone (830) 378-6665

Other practice location 2

704 Hospital Dr
Carrizo Springs, TX 78834-3836
Phone (830) 876-2424

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220215002157 TX Practitioner - Nurse Practitioner 9739572793 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
694444TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dimmit Regional Hospital Current Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Dimmit Regional Hospital CurrentSince Mar 1, 2024 Accepting new patients
Dimmit Regional Hospital CurrentSince Mar 1, 2024 Accepting new patients
Vida Y Salud-Health Systems Inc CurrentSince Nov 13, 2021 Accepting new patients
Dimmit Regional Hospital Past Accepting new patients

Locations

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823

308 S Cesar Chavez Ave
Crystal City, TX 78839
Phone (830) 374-2301

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1720756612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788390397",
            "telephone_number": "210-501-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788390397",
            "telephone_number": "830-448-5301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 El Rancho Way",
            "address_purpose": "LOCATION",
            "city": "Dilley",
            "state": "TX",
            "postal_code": "780174200",
            "country_code": "US",
            "telephone_number": "830-378-6665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Carrizo Springs",
            "state": "TX",
            "postal_code": "788343836",
            "country_code": "US",
            "telephone_number": "830-876-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "TERESA",
        "middle_name": "RIOS",
        "credential": "FNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1045215",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1045215",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "694444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, TX

Sources for this page

Verify at the official NPI Registry.