Individual provider Active NPI

Stephanie Lynn Williams

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1043997547
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1084527 Issued in TX
Practice address
4751 Hamilton Wolfe Rd Ste 200
San Antonio, TX 78229-3458
Phone
(210) 233-7074
NPI assigned
Jun 28, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1084527 TX Primary

Addresses

Primary practice location

4751 Hamilton Wolfe Rd Ste 200
San Antonio, TX 78229-3458

Mailing address

4751 Hamilton Wolfe Rd Ste 200
San Antonio, TX 78229-3458

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
I20230907003810 TX Practitioner - Nurse Practitioner 3971967092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1084527TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc CurrentSince Aug 7, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
830 Wellness, LLC PastSince Mar 26, 2023 Accepting new patients

Locations

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

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

4751 Hamilton Wolfe Rd
Ste 200
San Antonio, TX 78229
Phone (210) 233-7126

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1043997547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 HAMILTON WOLFE RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 HAMILTON WOLFE RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293458",
            "telephone_number": "210-233-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1084527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.