Individual provider Active NPI

Sarah Esther Benavides, FNP

  • Primary Care Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1992410922
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1107556 Issued in TX
Practice address
6330 Saratoga Blvd
Corpus Christi, TX 78414-3481
Phone
(361) 239-3986
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1107556 TX Primary

Addresses

Primary practice location

6330 Saratoga Blvd
Corpus Christi, TX 78414-3481

Mailing address

7501 Krypton Dr
Corpus Christi, TX 78414-3140
Phone (361) 290-3105

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
I20240627003637 TX Practitioner - Nurse Practitioner 7517401862 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1107556TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QC Urgent Care PLLC CurrentSince Jun 1, 2024 Accepting new patients
QC Professional PLLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1290 FM 43
Ste J
Corpus Christi, TX 78415
Phone (361) 238-0015

7629 S Staples St
Ste 106A
Corpus Christi, TX 78413
Phone (361) 238-0015

7629 S Staples St
Unit 106A
Corpus Christi, TX 78413
Phone (361) 888-2820

7629 S Staples St
#106A
Corpus Christi, TX 78413

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1992410922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 KRYPTON DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143140",
            "telephone_number": "361-290-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143481",
            "telephone_number": "361-239-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "SARAH",
        "middle_name": "ESTHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1107556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.