Individual provider Active NPI

Jacquelyn Emeterio, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1396257549
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135366 Issued in TX
Practice address
1202 W Bitters Rd BLDG 4E
San Antonio, TX 78216-7852
Phone
(210) 492-9144
Fax
(210) 492-9024
NPI assigned
Oct 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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 AP135366 TX Primary

Addresses

Primary practice location

1202 W Bitters Rd BLDG 4E
San Antonio, TX 78216-7852

Mailing address

1202 W Bitters Rd BLDG 4E
San Antonio, TX 78216-7852
Phone (210) 492-9144

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
I20191003002248 TX Practitioner - Nurse Practitioner 7810228939 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Oct 1, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

18818 Meisner Dr
Ste 102
San Antonio, TX 78258
Phone (210) 481-6800

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1396257549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W BITTERS RD BLDG 4E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167852",
            "telephone_number": "210-492-9144",
            "fax_number": "210-492-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W BITTERS RD BLDG 4E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167852",
            "telephone_number": "210-492-9144",
            "fax_number": "210-492-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMETERIO",
        "first_name": "JACQUELYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.