Individual provider Active NPI

Mary Dolores Garcia, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1952472664
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223565 Issued in TX
Practice address
6000 Ocean Dr
Corpus Christi, TX 78412-2862
Phone
(361) 510-4730
Fax
(361) 462-4098
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 223565 TX Primary

Addresses

Primary practice location

6000 Ocean Dr
Corpus Christi, TX 78412-2862

Mailing address

6000 Ocean Dr
Corpus Christi, TX 78412-2862
Phone (361) 510-4730

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
I20050203000042 TX Practitioner - Nurse Practitioner 3476462151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Padre Home and Clinic Healthcare, PLLCGroup PAC ID 9335533785, 2 clinicians
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

3210 Reid Dr
Suite M
Corpus Christi, TX 78404-2524
Phone (361) 533-1023

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Padre Home and Clinic Healthcare, PLLC Family CurrentSince Feb 15, 2022 Accepting new patients
Laredo Visiting Nurses, Inc. PastSince Mar 24, 2009 Accepting new patients

Locations

3210 Reid Dr
Ste M
Corpus Christi, TX 78404
Phone (361) 533-1023

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1952472664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 OCEAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122862",
            "telephone_number": "361-510-4730",
            "fax_number": "361-462-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 OCEAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122862",
            "telephone_number": "361-510-4730",
            "fax_number": "361-462-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARY",
        "middle_name": "DOLORES",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-02-15",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "223565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.