Active NPI
Pamela Kareena Abeyta, APN
- Nurse Practitioner
- Fort Sam Houston, TX
National Provider Identifier
1497089494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 674287
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804000063 | TX | Order and Referring Only - Nurse Practitioner | 3375713472 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 674287 | TX | MD | Gerontology Nurse Practitioner |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 674287 | TX | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 674287 | TX |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.