Individual provider Active NPI

Dawn Janelle Pastor, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174285282
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1056008 Issued in TX
Practice address
1802 SW Military Dr
San Antonio, TX 78221-1431
Phone
(109) 242-3372
Fax
(210) 923-2208
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1056008 TX Primary

Addresses

Primary practice location

1802 SW Military Dr
San Antonio, TX 78221-1431

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230426001046 TX Practitioner - Nurse Practitioner 4284099250 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Primecare, Inc CurrentSince Apr 3, 2023 Accepting new patients
Transtreme, LLC Family CurrentSince Aug 1, 2023 Accepting new patients
East Texas Community Clinic, Inc. Past Accepting new patients

Locations

100 E House St
Alvin, TX 77511
Phone (281) 245-1123

203 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 275-7787

605 Northwest Pkwy
Ste 1
Azle, TX 76020
Phone (817) 406-4331

400 E State Highway 243
Canton, TX 75103
Phone (903) 287-5011

7501 Fannin St
Ste 705
Houston, TX 77054
Phone (713) 589-5283

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

1802 SW Military Dr
San Antonio, TX 78221
Phone (210) 924-2337

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1174285282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 SW MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211431",
            "telephone_number": "109-242-3372",
            "fax_number": "210-923-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOR",
        "first_name": "DAWN",
        "middle_name": "JANELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1056008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.