Sandra C Ahukanna

Key facts

NPI

1295561348

Entity type

Individual (NPI type 1)

Primary specialty

Rehabilitation Registered Nurse 163WR0400X

License

850791 (TX)

Practice address

7910 Headwaters TRL
San Antonio, TX 78254-4457

Phone

(832) 202-3227

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2024.

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1295561348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 HEADWATERS TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544457",
            "telephone_number": "832-202-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 HEADWATERS TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544457",
            "telephone_number": "832-202-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUKANNA",
        "first_name": "SANDRA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "TX",
            "license": "850791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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