Individual provider Active NPI

Stefanie Johnson-Sykes, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1265855308
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124809 Issued in TX
Practice address
22202 Bulverde Rd
San Antonio, TX 78261-3080
Phone
(866) 389-2727
Fax
(401) 216-3854
NPI assigned
Jan 25, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP124809 TX Primary

Addresses

Primary practice location

22202 Bulverde Rd
San Antonio, TX 78261-3080

Mailing address

22202 Bulverde Rd
San Antonio, TX 78261-3080
Phone (866) 389-2727

Other practice location 1

1200 Brooklyn Ave
Ste. 230
San Antonio, TX 78212-4803
Phone (210) 226-3326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE, MI, LA, TN, OK6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20140827000212 TX Practitioner - Nurse Practitioner 9436377827 Reassigns benefits to 2 organizations
I20230313000376 NE Practitioner - Nurse Practitioner 9436377827 Reassigns benefits to 1 organization
I20230313000553 MI Practitioner - Nurse Practitioner 9436377827 Reassigns benefits to 1 organization
I20230314003011 LA Practitioner - Nurse Practitioner 9436377827 Reassigns benefits to 2 organizations
I20230330002076 TN Practitioner - Nurse Practitioner 9436377827
I20250328000260 OK Practitioner - Nurse Practitioner 9436377827 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Oklahoma LLC Family CurrentSince Mar 20, 2025 Accepting new patients
Minuteclinic Diagnostic of Louisiana, LLC Family CurrentSince Feb 23, 2023 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Mar 20, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Nov 28, 2017 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Nov 28, 2017 Accepting new patients
Joel a Rodriguez MD PLLC CurrentSince Jul 1, 2014 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince Feb 9, 2023 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Dec 6, 2022 Accepting new patients
Easy Health Medical Solutions PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024

3867 Plaza Tower Dr
Fl 1
Baton Rouge, LA 70816

7777 Bluebonnet Blvd
Ste 100
Baton Rouge, LA 70810
Phone (225) 235-0028

4401 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 891-7731

2103 Gause Blvd E
Slidell, LA 70461
Phone (985) 643-5743

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980

1040 SW 19th St
Moore, OK 73160
Phone (405) 794-3001

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

1200 Brooklyn Ave
Ste 230
San Antonio, TX 78212
Phone (210) 226-3326

22202 Bulverde Rd
San Antonio, TX 78261
Phone (210) 497-0353

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265855308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22202 BULVERDE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613080",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22202 BULVERDE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613080",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-3854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Brooklyn Ave",
            "address_2": "Ste. 230",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782124803",
            "country_code": "US",
            "telephone_number": "210-226-3326",
            "fax_number": "210-226-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-SYKES",
        "first_name": "STEFANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.