Individual provider Active NPI

Heather Elizabeth Beavers, NP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1003445644
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143188 Issued in TX
Practice address
2520 Broadway St Ste 100
San Antonio, TX 78215-1148
Phone
(210) 595-1019
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143188 TX Primary

Addresses

Primary practice location

2520 Broadway St Ste 100
San Antonio, TX 78215-1148

Mailing address

2520 Broadway St Ste 100
San Antonio, TX 78215-1148
Phone (210) 595-1019

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
I20240910004971 TX Practitioner - Nurse Practitioner 9830639376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pain Partners PLLC 23 clinicians

Practice addresses (Care Compare)

4680 Lockhill Selma Rd
Suite 200
San Antonio, TX 78249-2094
Phone (210) 546-1480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143188TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Texas Pain Partners PLLC CurrentSince Nov 1, 2024 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jul 25, 2025 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jul 25, 2025 Accepting new patients
Texas Pain Partners PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

3202 Cherry Ridge Dr
Ste 103
San Antonio, TX 78230
Phone (210) 441-4333

423 Treeline Park
Ste 325
San Antonio, TX 78209
Phone (210) 546-1460

14625 Huebner Rd
San Antonio, TX 78230

2520 Broadway St
Ste 100
San Antonio, TX 78215
Phone (210) 595-1019

4680 Lockhill Selma Rd
Ste 200
Shavano Park, TX 78249
Phone (210) 546-1470

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CADJCD/Endpoint/CADJCD

Organizations & group practices 9

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1003445644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 BROADWAY ST STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151148",
            "telephone_number": "210-595-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 BROADWAY ST STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151148",
            "telephone_number": "210-595-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.