Individual provider Active NPI

Ana Micaela Figueroa-Jarrin

  • School Psychologist
  • San Antonio, TX
National Provider Identifier
1164092763
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
71906 Issued in TX
Practice address
12739 Shoreline Dr
San Antonio, TX 78254-6328
Phone
(808) 453-0881
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X 71906 TX Primary

Addresses

Primary practice location

12739 Shoreline Dr
San Antonio, TX 78254-6328

Mailing address

12739 Shoreline Dr
San Antonio, TX 78254-6328
Phone (808) 453-0881

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
71906TXMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1164092763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12739 SHORELINE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546328",
            "telephone_number": "808-453-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12739 SHORELINE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546328",
            "telephone_number": "808-453-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA-JARRIN",
        "first_name": "ANA",
        "middle_name": "MICAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "71906",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 28, 2021; 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.