Individual provider Active NPI

Jennifer L Zavala, N.P.

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1184904336
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP120771 Issued in TX
Practice address
19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3371
Phone
(210) 265-8851
Fax
(210) 265-8855
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP120771 TX
Nurse Practitioner 363L00000X AP120771 TX Primary

Addresses

Primary practice location

19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3371

Mailing address

19272 Stone Oak Pkwy
Ste 101
San Antonio, TX 78258-3372
Phone (210) 265-8851

Other practice location 1

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

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
I20120329000341 TX Practitioner - Nurse Practitioner 4587824503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates of South Texas, PLLCGroup PAC ID 9931103447, 17 clinicians

Practice addresses (Care Compare)

19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3372
Phone (210) 265-8851

Merit-based Incentive Payment System (MIPS)

Final score
73.06 of 100Reported as group
Quality
83.27
Promoting interoperability
90
Improvement activities
40
Cost
35.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of South Texas, PLLC CurrentSince Aug 15, 2016 Accepting new patients
Auravia Wellness LLC Family Medicine PastSince Oct 1, 2023 Accepting new patients

Locations

19272 Stone Oak Pkwy
Ste 101
San Antonio, TX 78258
Phone (210) 265-8851

Organizations & group practices 2

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1184904336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583372",
            "telephone_number": "210-265-8851",
            "fax_number": "210-265-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583371",
            "telephone_number": "210-265-8851",
            "fax_number": "210-265-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14701 San Pedro Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782324355",
            "country_code": "US",
            "telephone_number": "210-858-6127",
            "fax_number": "726-238-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP120771",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP120771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.