Organization Active NPI

Auravia Wellness LLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1164200283
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AURAVIA WELLNESS LLC
Practice address
14701 San Pedro Ave Ste 240
San Antonio, TX 78232-4355
Phone
(210) 858-6127
Fax
(210) 485-1062
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Jeanette Lira, LPC-SNPI 1053750984
Title
Owner
Phone
(210) 858-6127

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14701 San Pedro Ave Ste 240
San Antonio, TX 78232-4355

Mailing address

14701 San Pedro Ave Ste 240
San Antonio, TX 78232-4355
Phone (210) 858-6127

National Provider Directory

National Provider Directory

Locations

14701 San Pedro Ave
Ste 102
San Antonio, TX 78232

10127 Morocco St
Ste 101
San Antonio, TX 78216

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1164200283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 SAN PEDRO AVE STE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324355",
            "telephone_number": "210-858-6127",
            "fax_number": "210-485-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 SAN PEDRO AVE STE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324355",
            "telephone_number": "210-858-6127",
            "fax_number": "210-485-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURAVIA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "LIRA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-858-6127",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Sep 28, 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.