Individual provider Active NPI

Candace Vielma, AG-CNS

  • Gerontology Clinical Nurse Specialist
  • Kyle, TX
National Provider Identifier
1992266241
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
AP139733 Issued in TX
Practice address
135 Bunton Creek Rd
Kyle, TX 78640-5787
Phone
(512) 264-4275
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X AP139733 TX Primary

Addresses

Primary practice location

135 Bunton Creek Rd
Kyle, TX 78640-5787

Mailing address

135 Bunton Creek Rd Ste 102
Kyle, TX 78640-5701
Phone (512) 268-2091

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
I20190515001488 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 6305189341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
Suite 300
Austin, TX 78705-1914
Phone (512) 324-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
AP139733TXMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Current Accepting new patients
Seton Family of Doctors CurrentSince Feb 13, 2023 Accepting new patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Seton Family of Doctors CurrentSince Feb 13, 2023 Accepting new patients

Locations

1004 W 32nd St
Ste 300
Austin, TX 78705
Phone (512) 324-3440

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

135 Bunton Creek Rd
Ste 10
Kyle, TX 78640
Phone (512) 268-2091

135 Bunton Creek Rd
Ste 102
Kyle, TX 78640
Phone (512) 268-2091

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

135 Bunton Creek Rd
Kyle, TX 78640
Phone (512) 268-2068

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: candace.vielma.1@8363.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1992266241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BUNTON CREEK RD STE 102",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405701",
            "telephone_number": "512-268-2091",
            "fax_number": "512-268-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BUNTON CREEK RD",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405787",
            "telephone_number": "512-264-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIELMA",
        "first_name": "CANDACE",
        "credential": "AG-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP139733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.