Active NPI
Jennifer Nelson, M.D.
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1326428798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- S9945
- Practice address
- 10407 State Highway 151
San Antonio, TX 78251-4551 - Phone
- (210) 877-5600
- NPI assigned
- Jun 1, 2015
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | S9945 | TX | Primary |
Addresses
Primary practice location
10407 State Highway 151
San Antonio, TX 78251-4551
Mailing address
9035 Wellesley Manor Dr
San Antonio, TX 78240-2165
Phone (701) 720-2718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S9945 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Caring for Kids Pediatrics, PA | Pediatrics | Past | Accepting new patients |
Locations
1200 Childrens Ave
Oklahoma City, OK 73104
Phone (405) 271-2429
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
1200 Childrens Ave
#14000
Oklahoma City, OK 73104
Phone (405) 271-4417
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1093970550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1326428798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9035 WELLESLEY MANOR DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782402165",
"telephone_number": "701-720-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10407 STATE HIGHWAY 151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514551",
"telephone_number": "210-877-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2021-12-28",
"certification_date": "2021-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S9945",
"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 Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.