Individual provider Active NPI

Nana Afua Bentum Ntodi

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1245077494
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1165216 Issued in TX
Practice address
7010 W Loop 1604 N Ste 207
San Antonio, TX 78254-2191
Phone
(210) 998-6346
NPI assigned
Jul 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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 1165216 TX Primary

Addresses

Primary practice location

7010 W Loop 1604 N Ste 207
San Antonio, TX 78254-2191

Mailing address

7010 W Loop 1604 N Ste 207
San Antonio, TX 78254-2191
Phone (210) 998-6346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1165216TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventure Sprouts Kids Therapy PLLC PastSince Dec 7, 2025 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients

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": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1245077494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 W LOOP 1604 N STE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542191",
            "telephone_number": "210-998-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 W LOOP 1604 N STE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542191",
            "telephone_number": "210-998-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTODI",
        "first_name": "NANA AFUA",
        "middle_name": "BENTUM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1165216",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.