Active NPI
Jacquelyn Emeterio, FNP
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1396257549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP135366
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.