Individual provider Active NPI

Jessica M Streb-Martinez, GNP-BC

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1457634529
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
762104 Issued in TX
Practice address
7330 San Pedro Ave Ste 540
San Antonio, TX 78216-6250
Phone
(210) 344-2673
NPI assigned
Sep 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP120887 TX
Gerontology Nurse Practitioner 363LG0600X 762104 TX Primary

Addresses

Primary practice location

7330 San Pedro Ave Ste 540
San Antonio, TX 78216-6250

Mailing address

7330 San Pedro Ave Ste 540
San Antonio, TX 78216-6250
Phone (210) 344-2673

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
I20120329000259 TX Practitioner - Nurse Practitioner 9739349747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
762104TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Provider Services, LLC Past Accepting new patients
Geriatric Associates of America-Texas, PLLC Gerontology Past Accepting new patients
Inpatient Consultants of Texas, PLLC Past Accepting new patients
Ipc Healthcare Services of Texas, PLLC Past Accepting new patients

Organizations & group practices 5

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": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1457634529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE STE 540",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166250",
            "telephone_number": "210-344-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE STE 540",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166250",
            "telephone_number": "210-344-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREB-MARTINEZ",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP120887",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "762104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.