Individual provider Active NPI

Kathleen Marie Velasquez Calara, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1982204731
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145959 Issued in TX
Practice address
6570 Ingram Rd
San Antonio, TX 78238-3900
Phone
(210) 520-5588
Fax
(210) 522-1125
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

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
TMC Provider Group PLLC 213 clinicians

Practice addresses (Care Compare)

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (726) 207-3656

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

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
I20220209001009 TX Practitioner - Nurse Practitioner 7810380193 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
831425TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kellum Physician Partners, PA CurrentSince Jan 1, 2022 Accepting new patients
TMC Provider Group PLLC CurrentSince Aug 2, 2023 Accepting new patients
TMC Provider Group PLLC CurrentSince Aug 2, 2023 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Girgis Family Medicine Westover Hills PastSince Sep 1, 2021 Accepting new patients
Total MD Physicians Group, PLLC PastSince Mar 1, 2023 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

6570 Ingram Rd
San Antonio, TX 78238
Phone (210) 349-5577

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

3303 Rogers Rd
Ste 100
San Antonio, TX 78251
Phone (210) 547-4700

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

3401 Roy Richard Dr
Schertz, TX 78154
Phone (210) 675-6724

3701 FM 3009
Ste 101
Schertz, TX 78154
Phone (210) 945-2121

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145959 TX Primary
Registered Nurse 163W00000X 831425 TX

Addresses

NPPES NPI Registry

Primary practice location

6570 Ingram Rd
San Antonio, TX 78238-3900

Mailing address

2326 York BND
San Antonio, TX 78245-4417
Phone (210) 787-6377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2023.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1982204731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 YORK BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454417",
            "telephone_number": "210-787-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 INGRAM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383900",
            "telephone_number": "210-520-5588",
            "fax_number": "210-522-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALARA",
        "first_name": "KATHLEEN MARIE",
        "middle_name": "VELASQUEZ",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145959",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "831425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.