Individual provider Active NPI

Mary Beth Barad, N.P.

  • Adult Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1760651384
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP116813 Issued in TX
Practice address
20306 Encino Ledge
Ste. 103, Quiroz Adult Medicine Clinic
San Antonio, TX 78259-1831
Phone
(210) 404-0127
Fax
(210) 404-0161
NPI assigned
Feb 28, 2008
Last updated
May 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP116813 TX Primary

Addresses

Primary practice location

20306 Encino Ledge
Ste. 103, Quiroz Adult Medicine Clinic
San Antonio, TX 78259-1831

Mailing address

155 E Sonterra
Ste. 111, Quiroz Adult Medicine Clinic
San Antonio, TX 78258
Phone (210) 404-0127

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

LicenseStateTypeSpecialty
AP116813TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fred E Griffiths Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13170/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1760651384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA",
            "address_2": "STE. 111, QUIROZ ADULT MEDICINE CLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-404-0127",
            "fax_number": "210-404-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 ENCINO LEDGE",
            "address_2": "STE. 103, QUIROZ ADULT MEDICINE CLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591831",
            "telephone_number": "210-404-0127",
            "fax_number": "210-404-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAD",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP116813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.