NICHOLAS GAULTNEY (NPI# 1912356197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912356197 |
| Entity Type | Individual |
| Full Name | NICHOLAS GAULTNEY |
| Practice Address |
1380 Pantheon Way Suite 310 San Antonio TX 78232-2288 |
| Practice Telephone | 2104049696 |
| Mailing Telephone | 2104049696 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
859829 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1380 PANTHEON WAY SUITE 310 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345423 | Edmund P Williams Iv | Family Medicine | 1380 Pantheon Way, Ste 310, San Antonio, TX 78232-2288 | 2005-09-07 |
| 1760049712 | Marianela Ramierz Domenech | Acupuncturist | 1380 Pantheon Way, San Antonio, TX 78232 | 2019-05-24 |
| 1114377181 | Maria Leticia Marcon | Counselor | 1380 Pantheon Way, Suite 150, San Antonio, TX 78232-2288 | 2016-06-20 |
| 1760837413 | Sofia Graciela Torres | Counselor | 1380 Pantheon Way, #150, San Antonio, TX 78232-2288 | 2016-05-02 |
| 1619344785 | Kesha Martin | Counselor | 1380 Pantheon Way, San Antonio, TX 78232 | 2015-08-25 |
| 1023397288 | Stacy Martyn Gallo | Physician Assistant | 1380 Pantheon Way, Suite 310, San Antonio, TX 78232-2288 | 2011-08-05 |
| 1518190859 | Genesis Neuropsychiatric Center | Psychiatry & Neurology | 1380 Pantheon Way, #310, San Antonio, TX 78232-2288 | 2009-09-03 |
| 1922218205 | Joseph Edward Murphy IIi | Physician Assistant | 1380 Pantheon Way, Suite 310, San Antonio, TX 78232-2288 | 2007-05-23 |
| 1518092212 | Community Mental Health | Counselor | 1380 Pantheon Way, #310, San Antonio, TX 78232 | 2007-02-22 |
| 1184730756 | Amy M Fuller | Counselor | 1380 Pantheon Way, #310, San Antonio, TX 78232 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643968 | Britanni O Greene | Nurse Practitioner | 10650 Culebra Rd # 104-548, San Antonio, TX 78251-4949 | 2020-09-10 |
| 1356955462 | Saeid Nekoueian | Nurse Practitioner | 19506 Flair Oak, San Antonio, TX 78258-3648 | 2020-09-04 |
| 1649806282 | Monique Straker | Nurse Practitioner | 9480 Huebner Rd Ste 210, San Antonio, TX 78240-1657 | 2020-03-16 |
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1447714274 | Suzanne Perakathu | Nurse Practitioner | 7122 Stonewall Hill, San Antonio, TX 78256 | 2019-01-25 |
| 1023536612 | Olena Shvets | Nurse Practitioner | 311 Camden St # 510, San Antonio, TX 78215-2012 | 2017-09-02 |
| 1528598620 | Dianne Lavin LLC | Nurse Practitioner | 503 Benedict Ct, San Antonio, TX 78258-2545 | 2017-06-13 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1215476940 | Vita T Chung | Nurse Practitioner | 8122 Datapoint Dr Ste 1000, San Antonio, TX 78229-3273 | 2017-02-14 |
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
Please comment or provide details below to improve the information on NICHOLAS GAULTNEY.
| 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.