Tina Louise Sandoval, LVN

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

193462 Issued in TX

Practice address

400 N Loop 1604 E Ste 350
San Antonio, TX 78232-1289

Phone

(210) 255-1466

Fax

(210) 255-1488

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• San Rafael Healthcare, Inc

  • Home Health Agency
  • San Antonio, TX
  • NPI 1487996096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1043771439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321289",
            "telephone_number": "210-803-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321289",
            "telephone_number": "210-255-1466",
            "fax_number": "210-255-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3822 Browning Blf",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782452445",
            "country_code": "US",
            "telephone_number": "210-425-8760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "TX",
            "license": "193462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@sanrafaelhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Main Office Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "San Antonio",
            "address_1": "400 N Loop 1604 E Ste 350",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782321289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mirta Z Sandoval, LPC
• Nancy Guadalupe Sandoval, RD
• Naveen Sandoval
• Oriana Sandoval
• Ricardo Sandoval, IOM
• Veronica Sandoval, MS, LPC, RPT
• Jesse Sandoz, LCDC
• Sandra Dean Shriner MD PLLC
• Sandra Nairooz PLLC
• Sandra P Palomino OD PA

• Home Health Clinical Nurse Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.