Individual provider Active NPI

Rozmin B Jiwani, PHD

  • Adult Health Clinical Nurse Specialist
  • San Antonio, TX
National Provider Identifier
1306382635
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP118312 Issued in TX
Practice address
21935 Kenton Crofts
San Antonio, TX 78258-7840
Phone
(210) 639-0398
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 639678 TX
Adult Health Clinical Nurse Specialist 364SA2200X AP118312 TX Primary
Prevention Professional 405300000X AP118312 TX
Adult Health Clinical Nurse Specialist 364SA2200X RX. AUTH: 9650 TX

Addresses

Primary practice location

21935 Kenton Crofts
San Antonio, TX 78258-7840

Mailing address

21935 Kenton Croft
San Antonio, TX 78258-7840
Phone (210) 639-0398

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
639678TXMDRegistered Nurse
RX. AUTH: 9650TXMDAdult Health Clinical Nurse Specialist
AP118312TXMDPrevention Professional

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1306382635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21935 KENTON CROFT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587840",
            "telephone_number": "210-639-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21935 KENTON CROFTS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587840",
            "telephone_number": "210-639-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIWANI",
        "first_name": "ROZMIN",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "639678",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP118312",
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "TX",
            "license": "AP118312",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "RX. AUTH: 9650",
            "primary": false
        }
    ],
    "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 Jan 10, 2017; 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.