Individual provider Active NPI

Stephanie Tijerina

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1235720293
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1028942 Issued in TX
Practice address
3327 Research PLZ Ste 403
San Antonio, TX 78235-5159
Phone
(210) 337-6228
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 1028942 TX Primary

Addresses

Primary practice location

3327 Research PLZ Ste 403
San Antonio, TX 78235-5159

Mailing address

7909 Fredericksburg Rd Ste 110
San Antonio, TX 78229-3400
Phone (210) 614-4544

Other practice location 1

5414 Fredericksburg Rd Ste 100A
San Antonio, TX 78229-3641
Phone (210) 468-0800

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
I20210301000730 TX Practitioner - Nurse Practitioner 4688080575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GMG Health Systems Associates PAGroup PAC ID 8123932647, 115 clinicians

Practice addresses (Care Compare)

1499 Hillcrest Dr
San Antonio, TX 78228-3900
Phone (210) 921-3800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jun 21, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 21, 2023 Accepting new patients
South Texas Ancillary Services, LTD CurrentSince Aug 12, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 8, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
GMG Health Systems Associates PA CurrentSince Aug 12, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

1499 Hillcrest Dr
San Antonio, TX 78228
Phone (210) 921-6600

Organizations & group practices 6

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1235720293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293400",
            "telephone_number": "210-614-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 RESEARCH PLZ STE 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782355159",
            "telephone_number": "210-337-6228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5414 Fredericksburg Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293641",
            "country_code": "US",
            "telephone_number": "210-468-0800",
            "fax_number": "210-733-8649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIJERINA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1028942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.