Individual provider Active NPI

Emily J Galvan, FNP

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1538867569
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1110416 Issued in TX
Practice address
4358 Lockhill Selma Rd Ste 110
San Antonio, TX 78249-4167
Phone
(210) 492-4300
Fax
(210) 492-4380
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1110416 TX Primary

Addresses

Primary practice location

4358 Lockhill Selma Rd Ste 110
San Antonio, TX 78249-4167

Mailing address

4358 Lockhill Selma Rd Ste 110
San Antonio, TX 78249-4167
Phone (210) 492-4300

Other identifiers 1

IdentifierTypeStateIssuer
1110416OtherTXLICENSE

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
I20230717003353 TX Practitioner - Nurse Practitioner 6002276409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deerwood Family Practice, PLLCGroup PAC ID 0143351346, 3 clinicians

Practice addresses (Care Compare)

4358 Lockhill Selma Rd
Suite 110
San Antonio, TX 78249-4167
Phone (210) 492-4300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deerwood Family Practice, PLLC Family Medicine CurrentSince Mar 24, 2023 Accepting new patients
Airrosti Rehab Centers, LLC PastSince Feb 26, 2023 Accepting new patients

Locations

4358 Lockhill Selma Rd
Ste 110
San Antonio, TX 78249
Phone (210) 492-4200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1538867569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 LOCKHILL SELMA RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494167",
            "telephone_number": "210-492-4300",
            "fax_number": "210-492-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 LOCKHILL SELMA RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494167",
            "telephone_number": "210-492-4300",
            "fax_number": "210-492-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "EMILY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1110416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1110416",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.