Active NPI
New Abilities Medical Equipment & Supplies, Inc.
- Oxygen Equipment & Supplies (DME)
- San Antonio, TX
National Provider Identifier
1215934690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0063893
- Legal business name
- NEW ABILITIES MEDICAL EQUIPMENT & SUPPLIES, INC.
- Practice address
- 10821 Gulfdale
San Antonio, TX 78216-3608 - Phone
- (210) 375-0003
- Fax
- (210) 375-0009
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tina Marie Peterson, ATP, CRTS
- Title
- President
- Phone
- (210) 375-0003
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0063893 | TX | |
| Customized Equipment (DME) | 332BC3200X | 0063893 | TX | |
| Customized Equipment (DME) | 332BC3200X | 1004576 | TX | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0063893 | TX | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0063893 | TX | Primary |
Addresses
Primary practice location
10821 Gulfdale
San Antonio, TX 78216-3608
Mailing address
10821 Gulfdale
San Antonio, TX 78216-3608
Phone (210) 375-0003
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208011900 | Other | TX | ACS DEPARTMENT OF LABOR |
| 531538 | Other | TX | BLUE CROSS BLUE SHIELD |
| 152911702 | Other | TX | MOLINA HEALTHCARE |
| 4516011 | Other | BRAVO HEALTHCARE | |
| 1529117-01 | Medicaid | TX | |
| 1529117-02 | Medicaid | TX | |
| 152911702 | Medicaid | TX | |
| 10070285 | Other | TX | AMERIGROUP COMMUNITY CARE |
| 152911702 | Other | TX | SUPERIOR HEALTH PLANS |
National Provider Directory
National Provider DirectoryLocations
10821 Gulfdale St
San Antonio, TX 78216
Phone (210) 375-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242259200000",
"number": "1215934690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10821 GULFDALE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782163608",
"telephone_number": "210-375-0003",
"fax_number": "210-375-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10821 GULFDALE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782163608",
"telephone_number": "210-375-0003",
"fax_number": "210-375-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ABILITIES MEDICAL EQUIPMENT & SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2009-05-14",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-375-0003",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ATP, CRTS"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0063893",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": "0063893",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": "1004576",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0063893",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TX",
"license": "0063893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS DEPARTMENT OF LABOR",
"identifier": "208011900",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "531538",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE",
"identifier": "152911702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO HEALTHCARE",
"identifier": "4516011",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1529117-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1529117-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152911702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP COMMUNITY CARE",
"identifier": "10070285",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH PLANS",
"identifier": "152911702",
"state": "TX"
}
],
"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 May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.