Annalysa Diaz Elizondo, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1051196 Issued in TX

Practice address

3701 FM 3009 Suite 101
Schertz, TX 78154

Phone

(210) 945-2121

Fax

(210) 945-2221

NPI assigned

Sep 10, 2021

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• J Eric Stupka MD PA

  • Pulmonary Disease Physician
  • San Antonio, TX
  • NPI 1831496090

  TX

  Medicare reassignment NPD
• Juan a Garcia Mdpa

  • Pulmonary Disease Physician
  • San Antonio, TX
  • NPI 1154573939

  TX

  Medicare reassignment NPD
• Kellum Physician Partners, PA

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1073880092

  TX

  Medicare reassignment NPD
• Robert Ewing Winsett DO PA

  • Pulmonary Disease Physician
  • San Antonio, TX
  • NPI 1639793144

  TX

  Medicare reassignment NPD
• S. Rodrigo Burguete MD PA

  • Pulmonary Disease Physician
  • San Antonio, TX
  • NPI 1386986347

  TX

  Medicare reassignment NPD
• Stephen S Im Mdpa

  • Pulmonary Disease Physician
  • San Antonio, TX
  • NPI 1063664845

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1831868942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 FM 3009 SUITE 101",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "78154",
            "telephone_number": "210-945-2121",
            "fax_number": "210-945-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 FM 3009 SUITE 101",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "78154",
            "telephone_number": "210-945-2121",
            "fax_number": "210-945-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "ANNALYSA",
        "middle_name": "DIAZ",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1051196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scholarstica Nkechinyere Ekeh
• El Centro del Barrio, Inc.
• El-Shannon Non Emergency Medical Transportation
• El-Shannon Non Emergency Medical Transportation
• Elevate Therapeutics LLC
• James J Ellis
• Emergency Management and Response
• Emerus BHS Sa Thousand Oaks, LLC
• Anne M. Esquivel, PH.D.
• Esteban Velez, PA

• All providers in Schertz, TX
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.