Individual provider Active NPI

Xelena Caldwell

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1861985822
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137730 Issued in TX
Practice address
9002 Culebra Rd Ste 105
San Antonio, TX 78251-2875
Phone
(210) 802-3777
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137730 TX Primary

Addresses

Primary practice location

9002 Culebra Rd Ste 105
San Antonio, TX 78251-2875

Mailing address

4718 Ranchers RDG
San Antonio, TX 78251-4349
Phone (361) 290-8684

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180730002596 TX Practitioner - Nurse Practitioner 5395093934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP137730TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westover Hills Primary Care CurrentSince Jul 1, 2019 Accepting new patients

Locations

9022 Culebra Rd
Ste 112
San Antonio, TX 78251
Phone (210) 802-3777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1861985822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 RANCHERS RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514349",
            "telephone_number": "361-290-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 CULEBRA RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512875",
            "telephone_number": "210-802-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "XELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.