Individual provider Active NPI

Janice Ann Valdespino, ANP BC

  • Adult Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1376866962
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
625681 Issued in TX
Practice address
5290 Medical Dr
San Antonio, TX 78229-4849
Phone
(210) 614-6000
Fax
(210) 614-7728
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 625681 TX Primary

Addresses

Primary practice location

5290 Medical Dr
San Antonio, TX 78229-4849

Mailing address

5290 Medical Dr
San Antonio, TX 78229-4849
Phone (210) 614-6000

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
I20120430000496 TX Practitioner - Nurse Practitioner 2163684689 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
625681TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James M Andry MD PA CurrentSince Feb 1, 2016 Accepting new patients
James M Andry MD PA PastSince Nov 1, 2023 Accepting new patients

Locations

5290 Medical Dr
Ste A
San Antonio, TX 78229

5290 Medical Dr
San Antonio, TX 78229
Phone (210) 614-0187

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.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1376866962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-614-6000",
            "fax_number": "210-614-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-614-6000",
            "fax_number": "210-614-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDESPINO",
        "first_name": "JANICE",
        "middle_name": "ANN",
        "credential": "ANP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "625681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.