Individual provider Active NPI

Judith Onchweri

  • Primary Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1376298547
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1058469 Issued in TX
Practice address
2186 Jackson Keller Rd Ste 1230
San Antonio, TX 78213-2723
Phone
(682) 559-1706
NPI assigned
Feb 16, 2022
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1058469 TX Primary

Addresses

Primary practice location

2186 Jackson Keller Rd Ste 1230
San Antonio, TX 78213-2723

Mailing address

2186 Jackson Keller Rd Ste 1230
San Antonio, TX 78213-2723
Phone (682) 559-1706

Other practice location 1

4835 Belgravia Park
Converse, TX 78109-2155
Phone (682) 559-1706

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
I20220929000849 TX Practitioner - Nurse Practitioner 6406232461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mescalero Indian HospitalGroup PAC ID 9436056181, 13 clinicians

Practice addresses (Care Compare)

318 Abalone Loop
Mescalero, NM 88340-9213
Phone (575) 464-4441

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mescalero Indian Hospital CurrentSince Sep 24, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1376298547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 JACKSON KELLER RD STE 1230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132723",
            "telephone_number": "682-559-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 JACKSON KELLER RD STE 1230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132723",
            "telephone_number": "682-559-1706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 Belgravia Park",
            "address_purpose": "LOCATION",
            "city": "Converse",
            "state": "TX",
            "postal_code": "781092155",
            "country_code": "US",
            "telephone_number": "682-559-1706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONCHWERI",
        "first_name": "JUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1058469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.