Individual provider Active NPI

Stephanie Sanders, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1265924583
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137969 Issued in TX
Practice address
9150 Huebner Rd Ste 120
San Antonio, TX 78240-1545
Phone
(210) 334-0012
Fax
(210) 334-0196
NPI assigned
Jun 1, 2018
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 731369 TX
Family Nurse Practitioner 363LF0000X AP137969 TX Primary

Addresses

Primary practice location

9150 Huebner Rd Ste 120
San Antonio, TX 78240-1545

Mailing address

9150 Huebner Rd Ste 120
San Antonio, TX 78240-1545
Phone (210) 334-0012

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
I20180828003923 TX Practitioner - Nurse Practitioner 5496005290 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Wound Healing Associates, PLLCGroup PAC ID 3173912128, 3 clinicians

Practice addresses (Care Compare)

540 Madison Oak Dr
Suite 130
San Antonio, TX 78258-3919
Phone (210) 236-1886

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
731369TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Provider Health PA CurrentSince Oct 22, 2023 Accepting new patients
TMC Provider Group PLLC CurrentSince Sep 9, 2024 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Premier Provider Health PA CurrentSince Oct 22, 2023 Accepting new patients
TMC Provider Group PLLC CurrentSince Sep 9, 2024 Accepting new patients
Treehouse Telewellness Family Current Accepting new patients
Premier Provider Health PA Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

9301 N Central Expy
Ste 340
Dallas, TX 75231
Phone (214) 466-2828

5575 Warren Pkwy
Ste 206
Frisco, TX 75034
Phone (469) 287-7089

1325 Pennsylvania Ave
Ste 750
Ft Worth, TX 76104
Phone (817) 250-1970

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

9150 Huebner Rd
San Antonio, TX 78240
Phone (210) 351-6500

9150 Huebner Rd
Ste 120
San Antonio, TX 78240
Phone (210) 334-0012

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5091/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1265924583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401545",
            "telephone_number": "210-334-0012",
            "fax_number": "210-334-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401545",
            "telephone_number": "210-334-0012",
            "fax_number": "210-334-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STEPHANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "731369",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.