Organization Active NPI

Sa Health and Wellness LLC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1164125274
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SA HEALTH AND WELLNESS LLC
Practice address
4400 S Piedras Dr Ste 217
San Antonio, TX 78228-1223
Phone
(210) 275-1375
Fax
(210) 905-0018
NPI assigned
Mar 27, 2023
Last updated
Oct 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Authorized official

Name
Damon A. Runion
Title
Chief Operating Officer
Phone
(210) 595-0327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

4400 S Piedras Dr Ste 217
San Antonio, TX 78228-1223

Mailing address

1426 Sun MTN
San Antonio, TX 78258-7358

National Provider Directory

National Provider Directory

Locations

4400 S Piedras Dr
Ste 225
San Antonio, TX 78228
Phone (210) 275-1375

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698537600000",
    "number": "1164125274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 SUN MTN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S PIEDRAS DR STE 217",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281223",
            "telephone_number": "210-275-1375",
            "fax_number": "210-905-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "RUNION",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "210-595-0327"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "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 Oct 29, 2023; 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.