Individual provider Active NPI

Jennifer Martin, CPNP-PC

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174988356
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP129684 Issued in TX
Practice address
14100 San Pedro Ave Ste 608
San Antonio, TX 78232-4363
Phone
(210) 543-7334
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP129684 TX Primary

Addresses

Primary practice location

14100 San Pedro Ave Ste 608
San Antonio, TX 78232-4363

Mailing address

14100 San Pedro Ave Ste 608
San Antonio, TX 78232-4363

Other practice location 1

7922 Ewing Halsell Dr Ste 360
San Antonio, TX 78229
Phone (210) 614-7500

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
I20210928001717 TX Practitioner - Nurse Practitioner 9234536616 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129684TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC CurrentSince Nov 28, 2022 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
San Antonio a Thru Z Pediatrics PA Past Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

20475 State Highway 46 W
Ste 100
Spring Branch, TX 78070
Phone (830) 252-5200

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1174988356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 608",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 608",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324363",
            "telephone_number": "210-543-7334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7922 Ewing Halsell Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-614-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.