Individual provider Active NPI

Veronica Hernandez Lopez, PA-C

  • Medical Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1871726158
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0037 Issued in TX
Practice address
5802 Saratoga Blvd
Suite 150
Corpus Christi, TX 78414-4252
Phone
(361) 986-4600
Fax
(361) 985-0305
NPI assigned
Sep 2, 2009
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0037 TX Primary

Addresses

Primary practice location

5802 Saratoga Blvd
Suite 150
Corpus Christi, TX 78414-4252

Mailing address

919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711

Other identifiers 4

IdentifierTypeStateIssuer
284818605MedicaidTX
1L5502OtherTXMEDICARE
P02601820OtherTXMCRR
284818602MedicaidTX

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
I20091215000680 TX Practitioner - Physician Assistant 4981744372 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0037TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jul 11, 2011 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jul 11, 2011 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients
Abk Emergency Physicians PLLC Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

4046 Dowlen Rd
Beaumont, TX 77706
Phone (409) 225-5924

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

1415 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 861-9760

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

5802 Saratoga Blvd
Ste 150
Corpus Christi, TX 78414
Phone (361) 985-1888

919 Hidden Rdg
Irving, TX 75038

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

100 NE Loop 410
Ste 475
San Antonio, TX 78216

11823 Culebra Rd
Ste 105
San Antonio, TX 78253
Phone (210) 598-1517

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1871726158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 SARATOGA BLVD",
            "address_2": "SUITE 150",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144252",
            "telephone_number": "361-986-4600",
            "fax_number": "361-985-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "VERONICA",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA0037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284818605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1L5502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601820",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284818602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.