Active NPI
Sarah Pinnock
- Gerontology Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1306352554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP133428
- Practice address
- 2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650 - Phone
- (210) 599-6000
- Fax
- (210) 657-5586
- NPI assigned
- Dec 26, 2017
- Last updated
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP133428 | TX | Primary |
Addresses
Primary practice location
2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650
Mailing address
2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650
Phone (210) 599-6000
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP133428 | TX | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1306352554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410 STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175650",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410 STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175650",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINNOCK",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP133428",
"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 Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.