Individual provider Active NPI

Mary Grace Conejar Dolendo

  • Home Health Registered Nurse
  • San Antonio, TX
National Provider Identifier
1811531981
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
965762 Issued in TX
Practice address
7710 W Ih 10
San Antonio, TX 78230-4711
Phone
(210) 377-3355
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 965762 TX Primary

Addresses

Primary practice location

7710 W Ih 10
San Antonio, TX 78230-4711

Mailing address

2355 Austin Hwy Apt 1808
San Antonio, TX 78218-5910
Phone (415) 316-5058

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
965762TXMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1811531981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 AUSTIN HWY APT 1808",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782185910",
            "telephone_number": "415-316-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 W IH 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304711",
            "telephone_number": "210-377-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLENDO",
        "first_name": "MARY GRACE",
        "middle_name": "CONEJAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "965762",
            "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 Nov 1, 2019; 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.