Kristine Jeter, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012824 Issued in NC

Practice address

11345 Alamo Ranch Pkwy Ste 103
San Antonio, TX 78253-6442

Phone

(210) 957-1693

Fax

(210) 462-7650

NPI assigned

Feb 11, 2020

Last updated

May 25, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HABGBD
• Direct secure messaging: kristine.jeter@277511672954884.direct.elationemr.com

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1154953875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11345 ALAMO RANCH PKWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536442",
            "telephone_number": "210-957-1693",
            "fax_number": "210-462-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 ALAMO RANCH PKWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536442",
            "telephone_number": "210-957-1693",
            "fax_number": "210-462-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "KRISTINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus a. Rodriguez, MD PA
• Jesus Garcia-Gallegos, M.D., P.a.
• Jesus L. Almaguer DDS Inc.
• Jet Dental of San Antonio, PLLC
• Douglas Kenneth Jeter, RN
• Jetty United PLLC
• Jewa Enterprises LLC (Caring Senior Service of Fort Worth)
• Janice Jewell
• Pamela Sue Jewell, RD
• Ruth Jewell

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.