Individual provider Active NPI

Florica Pantea, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1205981941
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304490 Issued in NY
Practice address
2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899
Phone
(210) 616-9400
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F304490 NY Primary
Gerontology Nurse Practitioner 363LG0600X F340651 NY

Addresses

Primary practice location

2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899

Mailing address

2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899
Phone (210) 616-9400

Other identifiers 1

IdentifierTypeStateIssuer
02843194MedicaidNY

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
I20150115000172 TX Practitioner - Nurse Practitioner 3072616507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Pain Consultants PLLCGroup PAC ID 0840241865, 3 clinicians

Practice addresses (Care Compare)

2425 Babcock Rd
Suite 108
San Antonio, TX 78229-4899
Phone (210) 616-9400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F304490NYMDAdult Health Nurse Practitioner
F340651NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Consultants, PLLC CurrentSince Dec 15, 2014 Accepting new patients
Premier Pain Consultants, PLLC CurrentSince Dec 15, 2014 Accepting new patients

Locations

2425 Babcock Rd
San Antonio, TX 78229
Phone (210) 616-9400

2425 Babcock Rd
Ste 108
San Antonio, TX 78229
Phone (210) 298-9004

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1205981941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294899",
            "telephone_number": "210-616-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294899",
            "telephone_number": "210-616-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTEA",
        "first_name": "FLORICA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304490",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02843194",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.