Individual provider Active NPI

Vincent Robert Walsh, ADVANCED PRACTICE NU

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1972857845
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
568744 Issued in TX
Practice address
1032 S WW White Rd
San Antonio, TX 78220-2531
Phone
(210) 447-3033
NPI assigned
Oct 31, 2012
Last updated
May 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2016

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 568744 TX Primary

Addresses

Primary practice location

1032 S WW White Rd
San Antonio, TX 78220-2531

Mailing address

1032 S WW White Rd
San Antonio, TX 78220-2531
Phone (210) 447-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients
Complete Emergency Care la Vernia LLC Past Accepting new patients
Alamo Heights Complete Care LLC Past Accepting new patients
22250 Bulverde Cec Fossil Creek LLC Past Accepting new patients

Organizations & group practices 4

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1972857845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782202531",
            "telephone_number": "210-447-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782202531",
            "telephone_number": "210-447-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "VINCENT",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "ADVANCED PRACTICE NU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "568744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.