Individual provider Active NPI

Nadine Dongnang Njock, APRN-CNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1538640339
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1019903 Issued in TX
Practice address
5522 Lone Star Pkwy Ste 101
San Antonio, TX 78253-6719
Phone
(210) 298-4900
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1019903 TX Primary
Registered Nurse 163W00000X 886320 TX

Addresses

Primary practice location

5522 Lone Star Pkwy Ste 101
San Antonio, TX 78253-6719

Mailing address

5522 Lone Star Pkwy Ste 101
San Antonio, TX 78253-6719
Phone (210) 298-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
886320TXMDRegistered Nurse
1019903TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Jan 3, 2023 Accepting new patients
Nluc PLLC Current Accepting new patients
Nluc PLLC CurrentSince Jan 3, 2023 Accepting new patients
Woywood Chiropractic Wellness, PA PastSince Mar 1, 2021 Accepting new patients
Adaptive Health Services, LLC Past Accepting new patients

Locations

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1538640339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536719",
            "telephone_number": "210-298-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536719",
            "telephone_number": "210-298-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOCK",
        "first_name": "NADINE",
        "middle_name": "DONGNANG",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1019903",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "886320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.