Stephanie Nwabuona

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95032978 Issued in CA

Practice address

1202 E Sonterra Blvd Ste 501
San Antonio, TX 78258-4092

Phone

(210) 616-9526

NPI assigned

Mar 30, 2022

Last updated

Apr 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephani Chinwennajidemaobame Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schinwennajidemaobame492860@uhssa.direct-ci.com

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.

• County of Kern

  dba Kern BHRS Westchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
  • NPI 1568658821
  Medicare reassignment Care Compare group NPD
• Border Region MH Mr Community Center

  • Psychiatry Physician
  • Laredo, TX
  • NPI 1124060173
  Medicare reassignment NPD
• My Health My Resources of Tarrant County

  dba MHMR Of Tarrant County

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1952423782
  Medicare reassignment NPD
• Santa Barbara County Auditor

  dba Physicians Medical Group

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1134162613
  Medicare reassignment NPD
• County of Kern

  dba Kern BHRS Green Gardens

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1467653253
  NPD
• County of Kern

  dba Kern BHRS Linkage Programs

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1477744217
  NPD
• Santa Barbara County Auditor

  dba Santa Barbara County Public Health Department-Bridgehouse

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD
• Santa Barbara County Auditor

  dba Santa Barbara County Public Health Dept-Franklin Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1730271289
  NPD
• Psychiatric Medical Practitioners, Inc.

  • Psychiatry Physician
  • Bakersfield, CA
  • NPI 1740551563
  NPD (past)

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1386384097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 501",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 501",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584092",
            "telephone_number": "210-616-9526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Eye St # 100",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933015208",
            "country_code": "US",
            "telephone_number": "661-310-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWABUONA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1072156",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANI",
            "last_name": "CHINWENNAJIDEMAOBAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Onyinye Ifunanya Nwaneshiudu
• John Chima Nwankwo, MD
• Vivian Nwankwo, PHARMACIST
• Rachel Ogechukwuka Nwaokolo, PA
• Dolapo Nwaugbala

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.