KYLIE CASEY


Address: 111 Dallas St, San Antonio, TX 78205-1201
Phone: 2102975000

KYLIE CASEY (NPI# 1720509508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720509508
Entity Type Individual
Full Name KYLIE CASEY
Other Name KYLIE SABENA CASEY
Credential FNP
Practice Address 111 Dallas St
San Antonio
TX 78205-1201
Mailing Address 14121 Parke Long Ct Ste 201
Chantilly
VA 20151-1647
Practice Telephone 2102975000
Mailing Telephone 8552471940
Enumeration Date 2017-06-30
Last Update Date 2019-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP134283 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
14121 Parke Long Ct Ste 201, Chantilly, VA 201511647 (850) 362-9030
3551 Roger Brooke Dr, Fort Sam Houston, TX 782344504 2109167500

Office Location

Street Address 111 DALLAS ST
City SAN ANTONIO
State TX
Zip Code 78205-1201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063412666 Select Specialty Hospital - San Antonio Inc Long Term Care Hospital 111 Dallas St, 4th Fl, San Antonio, TX 78205-1201 2005-07-26
1366040487 Charlene Devyn Anderson Nurse Practitioner 111 Dallas St, San Antonio, TX 78205-1201 2020-10-12
1043832777 Briana Rochelle Garza Occupational Therapist 111 Dallas St, San Antonio, TX 78205-1201 2020-05-15
1477182186 Lu Ge Pharmacist 111 Dallas St, San Antonio, TX 78205-1201 2020-04-04
1629621909 Shawn Timothy Woodland Occupational Therapist 111 Dallas St, 4th Floor Building C, San Antonio, TX 78205 2019-07-16
1457821290 Blanca Azucena Macias Nurse Practitioner 111 Dallas St, San Antonio, TX 78205-1201 2018-12-04
1801376637 Matthew Joseph Kraus Occupational Therapist 111 Dallas St, San Antonio, TX 78205-1201 2018-08-21
1174002208 Hospitalist Medicine Physicians of Texas - San Antonio, Pllc Internal Medicine 111 Dallas St, San Antonio, TX 78205-1201 2018-08-09
1639661820 Ashley Nicole Brown Nurse Practitioner 111 Dallas St, San Antonio, TX 78205 2018-06-04
1639689193 Baptist Diagnostics, LLC Clinical Medical Laboratory 111 Dallas St, San Antonio, TX 78205-1201 2017-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144862947 Xeras Medical Technologies, Inc. Durable Medical Equipment & Medical Supplies 315 E. Commerce Street Suite 203, San Antonio, TX 78205 2019-10-13
1538631676 Olga Skirda Physician Assistant 610 North Main Avenue, San Antonio, TX 78205 2018-12-31
1508381757 Davis Vision Inc Eyewear Supplier (Equipment, not the service) 175 E Houston, San Antonio, TX 78205 2017-08-09
1841647138 Karen Tanguma Counselor 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 2016-05-17
1346652500 Lone Star Script Care LLC Case Management 310 S. S Mary's St, 1290, San Antonio, TX 78205 2014-05-22
1821227919 Teresa Yanhong Chen Optometrist 175 East Houston St, Visionworks, San Antonio, TX 78205 2009-07-09
1164650735 Mark Joseph Trevino Ophthalmology 414 Navarro St Ste 400, San Antonio, TX 78205 2009-06-23
1386882520 Nicolas A. Melgarejo Internal Medicine 343 W. Houston St., Suite #808, San Antonio, TX 78205 2009-01-26
1518135904 Khan Z Shirani Emergency Medicine 414 Navarro St Ste 500, San Antonio, TX 78205 2008-02-19
1619076700 Candace Lynese Bellamy Family Medicine 221 3rd St. West, San Antonio, TX 78205 2006-09-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224834 Natasha Bakunda Nurse Practitioner Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 2020-10-30
1033719521 Macy Atkins Nurse Practitioner 6676 Utsa Blvd, San Antonio, TX 78249-5100 2020-10-26
1801494554 Yordanis Rafael Fonseca Vega Nurse Practitioner 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 2020-10-14
1255939237 Ashley Elizabeth Swartz Nurse Practitioner 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 2020-10-13
1871190173 Cynthia B Elkins Nurse Practitioner 24806 Terlingua Bnd, San Antonio, TX 78261-2726 2020-10-08
1588270623 Amanda Razo Nurse Practitioner 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 2020-09-23
1255946935 Norberto Hernandez Iv Nurse Practitioner 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 2020-09-10
1033723655 Hira Mughal Nurse Practitioner 9850 Twinbear Crk, San Antonio, TX 78245-9596 2020-09-01
1366055675 Maria Christina Cruz Tijerina Nurse Practitioner 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 2020-08-26
1225649593 Gina M Duron Nurse Practitioner 10730 Green Trail Dr, San Antonio, TX 78223-4224 2020-08-11
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Competitor

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City SAN ANTONIO
Zip Code 78205

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Dataset Information

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.

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