Active NPI
Mbssa
- Voluntary or Charitable Agency
- San Antonio, TX
National Provider Identifier
1043554165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- MBSSA
- Practice address
- 2714 Thunder Gulch
San Antonio, TX 78245 - Phone
- (210) 430-1089
- NPI assigned
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle Nunn, PH.D
- Title
- Executive Director/Founder
- Phone
- (210) 430-1089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
2714 Thunder Gulch
San Antonio, TX 78245
Mailing address
2714 Thunder Gulch
San Antonio, TX 78245
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1043554165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 THUNDER GULCH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 THUNDER GULCH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78245",
"telephone_number": "210-430-1089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBSSA",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "NUNN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/FOUNDER",
"authorized_official_telephone_number": "210-430-1089",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.