NELLY ELENA TELLEZ (NPI# 1598135824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598135824 |
| Entity Type | Individual |
| Full Name | NELLY ELENA TELLEZ |
| Credential | APRN |
| Practice Address |
1715 Mccullough Ave San Antonio TX 78212-4046 |
| Practice Telephone | 2102255323 |
| Practice Fax Number | 2102257505 |
| Mailing Telephone | 2102255323 |
| Mailing Fax Number | 2102257505 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP129191 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | WELLMED MEDICARE | 445314YLPS | 01 |
| TX | WELLMED MEDICAID | 3543936-01 | 01 |
| Street Address |
1715 MCCULLOUGH AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822683 | Carmina M Fusco | Podiatrist | 1715 Mccullough Ave, 2nd Floor, San Antonio, TX 78212-4046 | 2005-06-21 |
| 1457789935 | Carvajals Inc | Pharmacy | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2013-10-21 |
| 1033556857 | Patricia Saravia | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2013-06-03 |
| 1801160692 | Paree Lavonne Gallo | Physician Assistant | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2012-02-27 |
| 1295980274 | Lisa Marie Leffler | Internal Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2008-11-18 |
| 1639348048 | Aaron Alan Anguiano | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2008-02-29 |
| 1174694103 | Maria Delores Ponse Wheelis | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2006-11-13 |
| 1821044751 | Rosemary Romo Rivas | Registered Nurse | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2006-05-25 |
| 1144281478 | Jaime Moreno | Internal Medicine | 1715 Mccullough Ave, San Antonio, TX 78212 | 2006-03-28 |
| 1124025838 | Ramon Luis Figueroa | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1275131773 | Zaheer Uddin Sarwar | Nurse Practitioner | 17803 Maui Sands, San Antonio, TX 78255-3345 | 2020-10-15 |
| 1386259802 | Melanie Vanessa Morawiec | Nurse Practitioner | 155 E Sonterra Blvd Ste 101, San Antonio, TX 78258-3988 | 2020-09-11 |
| 1588207468 | April Louise Lumpkins | Nurse Practitioner | 1630 Mogford Rd, San Antonio, TX 78264-9243 | 2019-10-23 |
| 1396391942 | Wilmer Kyle Mounger | Nurse Practitioner | 12014 Fort Leaton, San Antonio, TX 78254-6363 | 2019-08-09 |
| 1710456629 | Lisa Spivey | Nurse Practitioner | 103 Tanglebriar Ln Apt C, San Antonio, TX 78209-3912 | 2018-11-20 |
| 1730654112 | Margaret Von Der Embse | Nurse Practitioner | 111 Probandt Unit 401, San Antonio, TX 78204-1997 | 2018-10-11 |
| 1083193460 | Christopher Esparza | Nurse Practitioner | 919 Locke St, San Antonio, TX 78208-2127 | 2018-08-07 |
| 1902393812 | Wound Healing Partners Pllc | Nurse Practitioner | 5902 Venado Trl, San Antonio, TX 78240-3364 | 2018-04-16 |
| 1134622343 | Doll House Medspa LLC | Nurse Practitioner | 1205 N Loop 1064 W, Suite 225, San Antonio, TX 78258 | 2018-03-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.