Cecelia A Kothmann, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP111061 Issued in TX

Practice address

601 Person Street
Stockdale, TX 78160-9998

Phone

(830) 996-3701

Fax

(830) 996-3749

NPI assigned

Feb 28, 2007

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

Practice roles

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.

• Daryl C Currier MD PA

  dba Stockdale Family Medical Center

  • Rural Health Clinic/Center
  • Stockdale, TX
  • NPI 1225066434
  NPD (past)
• Daryl C Currier MD PA

  dba Lavernia Family Medical Center

  • Rural Health Clinic/Center
  • La Vernia, TX
  • NPI 1386853224
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1942337563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 10TH ST",
            "address_2": "SUITE 101, PMB 118",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781141867",
            "telephone_number": "830-996-3701",
            "fax_number": "830-996-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PERSON STREET",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "781609998",
            "telephone_number": "830-996-3701",
            "fax_number": "830-996-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHMANN",
        "first_name": "CECELIA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "238956",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP111061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunn Pharmacy Inc.
• Alice Finegan, NP
• Elizebeth Foreman
• Emma Gawlik
• Hillhaven Hollow PLLC
• Tara Kvanvig-Garza, LPC
• Small Town Medical Solutions LLC
• Stockdale Isd
• Stockdale TX SNF Management LLC (Stockdale Residence and Rehabilitation Center)
• Stockdale Volunteer Ambulance Service

• Primary Care Nurse Practitioner in Stockdale, TX
• Providers in Stockdale, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.