Cathy Waldon Benavides, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R545708 Issued in MS

Practice address

6393 Babcock Rd # 102
San Antonio, TX 78240-2516

Phone

(833) 452-1052

Fax

(833) 452-1052

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cathy Wacaser Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS, TX, TN3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VMD Primary Providers South Hill Country Texas, PLLCGroup PAC ID 4284048646, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• VMD Primary Providers South Hill Country Texas, PLLC

  dba Village Medical

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1902400880
  Medicare reassignment Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559
  Medicare reassignment
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Cleanslate Medical Group of Texas PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Arlington, TX
  • NPI 1487192522
  NPD (past)
• Acute Care & Family Clinic of Pontotoc

  • Nurse Practitioner
  • Pontotoc, MS
  • NPI 1356459069
  NPD (past)
• Sherman Family Clinic

  • Rural Health Clinic/Center
  • Sherman, MS
  • NPI 1770627846

  Family

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1821173832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6393 BABCOCK RD # 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402516",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6393 BABCOCK RD # 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402516",
            "telephone_number": "833-452-1052",
            "fax_number": "833-452-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9080 Marbach Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782451810",
            "country_code": "US",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "CATHY",
        "middle_name": "WALDON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R545708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cathy.wacaser.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "6393 Babcock Rd # 102",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782402516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CATHY",
            "last_name": "WACASER",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abigail Benavides
• Allison Ray Benavides, LCSW
• Allyson Amelia Benavides
• Ariel Cristin Benavides, M.S., CCC-SLP
• Brenda Benavides
• Daniel Garza Benavides, LPC
• Dennise Benavides, OTR
• Edgardo Benavides, D.O.
• Heidi Lynn Benavides, APRN-FNP-
• Idalia Ivanna Benavides, M.D.

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.