Individual provider Active NPI

Jamey Vancura, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1346751179
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135307 Issued in TX
Practice address
20658 Stone Oak Pkwy
San Antonio, TX 78258-7344
Phone
(210) 403-3220
NPI assigned
Oct 19, 2017
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135307 TX Primary

Addresses

Primary practice location

20658 Stone Oak Pkwy
San Antonio, TX 78258-7344

Mailing address

20658 Stone Oak Pkwy
San Antonio, TX 78258-7344
Phone (210) 403-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016000061 TX Practitioner - Nurse Practitioner 2062764350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10010 Westover Hills Blvd
Suite 125
San Antonio, TX 78251-1968
Phone (210) 682-9434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135307TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health of South Texas, PA CurrentSince Aug 1, 2018 Accepting new patients

Locations

10010 Westover Hills Blvd
Ste 125
San Antonio, TX 78251
Phone (210) 682-9434

11212 State Highway 151
Ste 240
San Antonio, TX 78251
Phone (210) 682-9434

4522 Fredericksburg Rd
Ste A5
San Antonio, TX 78201
Phone (210) 570-8500

8038 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 570-8500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHEAD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1346751179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20658 STONE OAK PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587344",
            "telephone_number": "210-403-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20658 STONE OAK PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587344",
            "telephone_number": "210-403-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCURA",
        "first_name": "JAMEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.