Jefferson Family Practice

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

JEFFERSON FAMILY PRACTICE

Practice address

9647 Huebner Rd
San Antonio, TX 78240-1512

Phone

(210) 735-5225

Fax

(210) 735-3207

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly K Heller, M.D.

Title

President

Phone

(210) 735-1199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1417991035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9647 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401512",
            "telephone_number": "210-735-5225",
            "fax_number": "210-735-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9647 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401512",
            "telephone_number": "210-735-5225",
            "fax_number": "210-735-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-735-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083854201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffco Management LLC
• Jeffco Management, LLC
• Kamryn Jefferies
• Lauren Brooke Jefferies, LPC
• John Jeffers, LPC
• Jefferson Medical Supply, Inc.
• Jefferson Pharmacy Inc
• Devon Jefferson, LCSW
• Jeffery L. Miller, DDS, Inc
• Takarah Kide Jeffery

• Health Service Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.