Individual provider Active NPI

Amy Quintero, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1750536058
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP116968 Issued in TX
Practice address
4438 Centerview
San Antonio, TX 78228-1440
Phone
(210) 280-0040
Fax
(210) 280-0060
NPI assigned
Dec 1, 2008
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP116968 TX Primary

Addresses

Primary practice location

4438 Centerview
San Antonio, TX 78228-1440

Mailing address

7622 Louis Pasteur Dr
Ste 201
San Antonio, TX 78229-4019
Phone (210) 610-3859

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
I20120924000364 TX Practitioner - Nurse Practitioner 7810145448 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP116968TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Networks, Inc. CurrentSince May 6, 2014 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients
Wellmed Medical Group, PA CurrentSince Mar 1, 2018 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Mar 1, 2018 Accepting new patients
Mmcare - Hospice LLC PastSince Aug 13, 2023 Accepting new patients

Locations

1715 McCullough Ave
San Antonio, TX 78212
Phone (210) 225-5323

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

4438 Centerview
San Antonio, TX 78228
Phone (210) 280-0040

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229
Phone (210) 614-7840

7622 Louis Pasteur Dr
Ste 201
San Antonio, TX 78229
Phone (210) 558-0121

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: amy.quintero@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1750536058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR",
            "address_2": "STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-610-3859",
            "fax_number": "210-641-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 CENTERVIEW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281440",
            "telephone_number": "210-280-0040",
            "fax_number": "210-280-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP116968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.