Individual provider Active NPI

Katrina Salinas Villa, FNP

  • Family Nurse Practitioner
  • Shavano Park, TX
National Provider Identifier
1982184586
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138254 Issued in TX
Practice address
4085 De Zavala Rd Ste 200
Shavano Park, TX 78249-2084
Phone
(210) 310-8057
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138254 TX Primary
Family Nurse Practitioner 363LF0000X F06180361 TX

Addresses

Primary practice location

4085 De Zavala Rd Ste 200
Shavano Park, TX 78249-2084

Mailing address

4085 De Zavala Rd Ste 200
Shavano Park, TX 78249-2084

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
I20190815000389 TX Practitioner - Nurse Practitioner 7315274271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Vascular Institute PLLCGroup PAC ID 5496101297, 2 clinicians

Practice addresses (Care Compare)

1010 NW Loop
410 Suite 100B
San Antonio, TX 78213-2220
Phone (210) 465-7015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138254TXMDFamily Nurse Practitioner
F06180361TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Innovative Vascular Institute, PLLC CurrentSince Nov 6, 2023 Accepting new patients

Locations

6202 West Ave
San Antonio, TX 78213
Phone (210) 300-6907

1010 NW Loop 410
Ste 100B
San Antonio, TX 78213
Phone (210) 465-7015

17503 La Cantera Pkwy
#104404
San Antonio, TX 78257
Phone (210) 802-1661

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDIECD/Endpoint/JDIECD

Organizations & group practices 2

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1982184586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 DE ZAVALA RD STE 200",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 DE ZAVALA RD STE 200",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492084",
            "telephone_number": "210-310-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "KATRINA",
        "middle_name": "SALINAS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138254",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F06180361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

Verify at the official NPI Registry.