Active NPI
Rebecca Solis Polanco, FNP-C
- Primary Care Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1336868462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP139571
- Practice address
- 6326 Sovereign St Ste 160
San Antonio, TX 78229-5177 - Phone
- (210) 934-7017
- NPI assigned
- Aug 23, 2022
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP139571 | TX | Primary |
Addresses
Primary practice location
6326 Sovereign St Ste 160
San Antonio, TX 78229-5177
Mailing address
6326 Sovereign St Ste 160
San Antonio, TX 78229-5177
Phone (726) 208-7900
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 |
|---|---|---|---|
| AP139571 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Mental Health & Family Medical Center, LLC | Current | Accepting new patients | |
| Southwest Texas Two Medical Group, PLLC | Past | Accepting new patients |
Locations
6326 Sovereign St
Ste 160
San Antonio, TX 78229
Phone (210) 324-3619
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
- NPI 1043981020
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1659950475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1336868462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6326 SOVEREIGN ST STE 160",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295177",
"telephone_number": "726-208-7900",
"fax_number": "726-208-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6326 SOVEREIGN ST STE 160",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295177",
"telephone_number": "210-934-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANCO",
"first_name": "REBECCA",
"middle_name": "SOLIS",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP139571",
"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 Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.