Active NPI
Rebecca Carreon, DNP, FNP, PMHNP-C
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1811004898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP108761
- Practice address
- 1920 Burnet St
San Antonio, TX 78202-2517 - Phone
- (210) 261-1250
- Fax
- (210) 227-7059
- NPI assigned
- Aug 24, 2006
- Last updated
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 547032 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP108761 | TX | Primary |
Addresses
Primary practice location
1920 Burnet St
San Antonio, TX 78202-2517
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1000
Other practice location 1
527 N Leona St
San Antonio, TX 78207-3110
Phone (210) 257-1400
Other practice location 2
4242 Medical Dr Ste 6300
San Antonio, TX 78229-5372
Phone (844) 824-8775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042510005 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 547032 | TX | MD | Family Nurse Practitioner |
| AP108761 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J H Higuchi M.D. P.a. | Past | Accepting new patients | |
| Leal Behavioral Health LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1336364611
-
- Psychiatric/Mental Health Nurse Practitioner
- El Paso, TX
- NPI 1356085674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1811004898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD STE 200S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134293",
"telephone_number": "210-261-1000",
"fax_number": "210-261-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BURNET ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782022517",
"telephone_number": "210-261-1250",
"fax_number": "210-227-7059"
}
],
"practiceLocations": [
{
"address_1": "527 N Leona St",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073110",
"country_code": "US",
"telephone_number": "210-257-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4242 Medical Dr Ste 6300",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782295372",
"country_code": "US",
"telephone_number": "844-824-8775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARREON",
"first_name": "REBECCA",
"credential": "DNP, FNP, PMHNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "547032",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP108761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042510005",
"state": "TX"
}
],
"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 Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.