Active NPI
Jennifer L Blessing, P.A.
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1154368744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10663
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-4000
- NPI assigned
- Jun 1, 2006
- Last updated
- Aug 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10663 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other practice location 1
12602 Toepperwein Road, Ste 218
Live Oak, TX 78233-3271
Phone (210) 615-1901
Other practice location 2
3603 Paesanos Pkwy Ste 205A
San Antonio, TX 78231-1227
Phone (210) 615-1901
Other practice location 3
3903 Wiseman Blvd, Ste 311
San Antonio, TX 78251-4422
Phone (210) 615-1901
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592207264E | Other | FL | HUMANA |
| 0599681 | Other | FL | GHI PPO |
| 1716925002 | Other | FL | CIGNA HMO |
| 592207264 | Other | FL | CIGNA PPO |
| 36291 | Other | FL | BCBS |
| 4130734 | Other | FL | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10663 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661558400000",
"number": "1154368744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-615-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000"
}
],
"practiceLocations": [
{
"address_1": "12602 Toepperwein Road, Ste 218",
"address_purpose": "LOCATION",
"city": "Live Oak",
"state": "TX",
"postal_code": "782333271",
"country_code": "US",
"telephone_number": "210-615-1901",
"fax_number": "210-615-1905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3603 Paesanos Pkwy Ste 205A",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782311227",
"country_code": "US",
"telephone_number": "210-615-1901",
"fax_number": "210-615-1905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3903 Wiseman Blvd, Ste 311",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782514422",
"country_code": "US",
"telephone_number": "210-615-1901",
"fax_number": "210-615-1905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLESSING",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2022-08-27",
"certification_date": "2022-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "592207264E",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0599681",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "1716925002",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "592207264",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "36291",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "4130734",
"state": "FL"
}
],
"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 Aug 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.