Active NPI
Veronica Medina
- Licensed Vocational Nurse
- San Antonio, TX
National Provider Identifier
1376026914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 330836
- Practice address
- 11124 Wurzbach Rd Ste 100
San Antonio, TX 78230-2440 - Phone
- (210) 615-5242
- Fax
- (210) 615-5280
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 330836 | TX | Primary |
Addresses
Primary practice location
11124 Wurzbach Rd Ste 100
San Antonio, TX 78230-2440
Mailing address
11124 Wurzbach Rd Ste 100
San Antonio, TX 78230-2440
Phone (210) 615-5242
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 |
|---|---|---|---|
| 330836 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Home Care of Texas, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1376026914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11124 WURZBACH RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302440",
"telephone_number": "210-615-5242",
"fax_number": "210-615-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11124 WURZBACH RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302440",
"telephone_number": "210-615-5242",
"fax_number": "210-615-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "VERONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "330836",
"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 Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.