Individual provider Active NPI

Kim Marie Hinojosa, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1366754715
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP119166 Issued in TX
Practice address
8210 Callaghan Rd
San Antonio, TX 78230-4775
Phone
(210) 233-7000
Fax
(210) 348-9607
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 AP119166 TX Primary

Addresses

Primary practice location

8210 Callaghan Rd
San Antonio, TX 78230-4775

Mailing address

3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7000

Other practice location 1

7431 NW Loop 410 Ste 109
San Antonio, TX 78245-3597
Phone (210) 477-7190

Other identifiers 1

IdentifierTypeStateIssuer
214647403MedicaidTX

Other names 1

  • Kim Marie Patenaude Former name

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
I20120703000671 TX Practitioner - Nurse Practitioner 3577728120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Primecare, IncGroup PAC ID 8628073236, 70 clinicians

Practice addresses (Care Compare)

7431 NW Loop 410
109 Healthtexas Medical Group Ingram
San Antonio, TX 78245-3597
Phone (210) 477-7190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP119166TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Physician Primecare, Inc CurrentSince Oct 23, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Mar 18, 2012 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Mar 18, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7431 NW Loop 410
Ste 109
San Antonio, TX 78245
Phone (210) 477-7190

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

2911 S New Braunfels Ave
San Antonio, TX 78210
Phone (210) 377-1133

8210 Callaghan Rd
San Antonio, TX 78230

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

3619 Paesanos Pkwy
Ste 212
Shavano Park, TX 78231
Phone (210) 233-7070

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1366754715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782201013",
            "telephone_number": "210-233-7000",
            "fax_number": "210-277-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304775",
            "telephone_number": "210-233-7000",
            "fax_number": "210-348-9607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7431 NW Loop 410 Ste 109",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782453597",
            "country_code": "US",
            "telephone_number": "210-477-7190",
            "fax_number": "210-477-7195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINOJOSA",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214647403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "PATENAUDE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.