Active NPI
Sovereignty Functional Medicine
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1124983747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SOVEREIGNTY FUNCTIONAL MEDICINE
- Practice address
- 3410 Stoney Byu
San Antonio, TX 78245-4057 - Phone
- (210) 416-2075
- NPI assigned
- Dec 16, 2025
- 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
- Alma Angelica Lozano Mercado, FNP
- Title
- Provider/Manager
- Phone
- (210) 416-2075
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3410 Stoney Byu
San Antonio, TX 78245-4057
Mailing address
2900 E Broadway Blvd Ste 100
Tucson, AZ 85716-5344
Phone (201) 416-2075
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- San Antonio, TX
- NPI 1417573239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1124983747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 E BROADWAY BLVD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857165344",
"telephone_number": "201-416-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 STONEY BYU",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782454057",
"telephone_number": "210-416-2075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOVEREIGNTY FUNCTIONAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A",
"authorized_official_last_name": "LOZANO MERCADO",
"authorized_official_first_name": "ALMA",
"authorized_official_middle_name": "ANGELICA",
"authorized_official_title_or_position": "PROVIDER/MANAGER",
"authorized_official_telephone_number": "210-416-2075",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Southwest South Texas Center for Pediatric Care
- Southwest South Texas Center for Pediatric Care
- Southwest Texas Orthopaedic & Fracture Clinic PA
- Jean Souza, LPC
- Suzette M Sova-Robertson, LPC
- Lana Altieri Sovie, M.S. CCC/SLP
- Iveth Soza, D.O.
- Jeanie Sozansky Lujan, M.D.
- SP Administration (Springtime Family Dental Care)
- SP Administration (Westover Hills Family Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.