MRS. KELLI KOVACH HARTMANN (NPI# 1801308556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801308556 |
| Entity Type | Individual |
| Full Name | MRS. KELLI KOVACH HARTMANN |
| Other Name | MISS KELLI NOEL KOVACH |
| Credential | MSN, RN, AGACNP-BC |
| Practice Address |
6700 W Ih 10 San Antonio TX 78201-2009 |
| Mailing Address |
1132 Lakeside Dr Lakehills TX 78063-6477 |
| Practice Telephone | 2107366700 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
AP135682 | TX | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP135682 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHNC | 380317302 | 01 |
| TX | 380317301 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4502 Medical Dr, San Antonio, TX 782294402 | 2103584000 |
| Street Address |
6700 W IH 10 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78201-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366538423 | Bexar Emergency Group Pa | Nurse Practitioner | 6700 W Ih 10, San Antonio, TX 78201-2009 | 2006-10-05 |
| 1609401181 | Helen L Robinson | Nurse Practitioner | 6700 W Ih 10, San Antonio, TX 78201-2009 | 2020-03-05 |
| 1164989398 | Jesus Yvan Herrera | Respiratory Therapist, Registered | 6700 W Ih 10, San Antonio, TX 78201-2009 | 2019-02-24 |
| 1164944310 | Balcones Heights Inpatient Services Pllc | Physician Assistant | 6700 W Ih 10, San Antonio, TX 78201-2009 | 2017-07-10 |
| 1811357189 | Compass Point Emergency Physicians, Pllc | Physician Assistant | 6700 W Ih 10, San Antonio, TX 78201-2009 | 2016-03-01 |
| 1114343498 | Tx-i Medical Services Pa | Physician Assistant | 6700 W Ih 10, San Antonio, TX 78201-2009 | 2014-03-11 |
| 1255757530 | Hawk Emergency Physicians, Pllc | Emergency Medicine | 6700 W Ih 10, San Antonio, TX 78201-2009 | 2014-03-11 |
| 1538371448 | San Antonio Emergency Physicians LLC | Emergency Medicine | 6700 W Ih 10, San Antonio, TX 78201-2009 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864648 | Woodlawn Lake Dental Partners Pllc | Dentist | 1707 Williams, San Antonio, TX 78201 | 2019-07-31 |
| 1912559840 | Tara Devi Nath | Dentist | 1770 Williams, San Antonio, TX 78201 | 2019-07-11 |
| 1205329042 | Louis A Gonzalez | Registered Nurse | 2362 W Gramercy Pl, San Antonio, TX 78201 | 2018-06-06 |
| 1194212860 | Zarzamora Healthcare LLC | Pharmacy | 6800 W Ih 10 # 200a, San Antonio, TX 78201 | 2018-04-18 |
| 1891211926 | Jessica Ann Salazar | Specialist/Technologist | 511 Crestview Dr, San Antonio, TX 78201 | 2017-08-21 |
| 1093262172 | Access Dental of Fredericksburg Pa | Dentist | 4315 Fredericksburg Balcones Height, 100a, San Antonio, TX 78201 | 2016-09-06 |
| 1144664962 | Raymond Evan Skunda | Orthopaedic Surgery | 6800 W Ih 10 Ste 250, San Antonio, TX 78201 | 2013-04-23 |
| 1114289477 | Shaun D Perryman | Dentist | 4522 Fredericksbug Rd., Ste A28, San Antonio, TX 78201 | 2012-06-13 |
| 1871872093 | Jose Miguel Urencio Marcue | Surgery | 6800 W Ih 10 Ste 200, San Antonio, TX 78201 | 2011-08-04 |
| 1962719658 | Julio C Mata | Specialist/Technologist, Other | 426 Concord Pl, San Antonio, TX 78201 | 2010-09-02 |
| Find all providers in zip 78201 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1427619675 | Divina G Buccellato | Nurse Practitioner | 3070 Colorado Cv, San Antonio, TX 78253-6294 | 2019-06-27 |
| 1194298844 | Taylor Phillips Johnson | Nurse Practitioner | 805 W Woodlawn Ave, San Antonio, TX 78212-3355 | 2019-01-05 |
| 1568947505 | Zachary Taliaferro | Nurse Practitioner | 4204 Gardendale St Ste 312, San Antonio, TX 78229-3141 | 2018-09-25 |
| 1891292181 | Amy Michelle Olvera | Nurse Practitioner | 225 E Sonterra Blvd Ste 201, San Antonio, TX 78258 | 2018-04-12 |
| 1114429982 | Neil Vito Loma Dolotina | Nurse Practitioner | 10455 Horn Blvd, San Antonio, TX 78240-2590 | 2018-03-07 |
| 1386156776 | Connie Cortina Reyes | Nurse Practitioner | 14510 Triple Crown Ln, San Antonio, TX 78248-2502 | 2017-10-25 |
| 1407381056 | Amanda Ann Rodriguez | Nurse Practitioner | 9140 Timber Path Apt 3002, San Antonio, TX 78250-7602 | 2017-04-20 |
| 1255883799 | Esteban Salas Aguirre Jr. | Nurse Practitioner | 10439 Royal Est, San Antonio, TX 78245-3195 | 2016-11-01 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78201 |
Please comment or provide details below to improve the information on MRS. KELLI KOVACH HARTMANN.
| 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.