Individual provider Active NPI

Pamela Kareena Abeyta, APN

  • Nurse Practitioner
  • Fort Sam Houston, TX
National Provider Identifier
1497089494
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
674287 Issued in TX
Practice address
3100 Schofield Rd
Family Medicine Service, Department of the Army, Bamc
Fort Sam Houston, TX 78234-7577
Phone
(210) 808-6693
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160804000063 TX Order and Referring Only - Nurse Practitioner 3375713472

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
674287TXMDGerontology Nurse Practitioner

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 674287 TX Primary
Gerontology Nurse Practitioner 363LG0600X 674287 TX

Addresses

NPPES NPI Registry

Primary practice location

3100 Schofield Rd
Family Medicine Service, Department of the Army, Bamc
Fort Sam Houston, TX 78234-7577

Mailing address

11319 Spring Crest
San Antonio, TX 78249-2647
Phone (210) 336-5833

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497089494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 SPRING CREST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492647",
            "telephone_number": "210-336-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SCHOFIELD RD",
            "address_2": "FAMILY MEDICINE SERVICE, DEPARTMENT OF THE ARMY, BAMC",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347577",
            "telephone_number": "210-808-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEYTA",
        "first_name": "PAMELA",
        "middle_name": "KAREENA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "674287",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "674287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.