Individual provider Active NPI

Juliana Messina

  • Family Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1548135379
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1215354 Issued in TX
Practice address
12602 Toepperwein Rd Ste 208
Live Oak, TX 78233-3271
Phone
(210) 403-0794
Fax
(210) 646-0042
NPI assigned
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1215354 TX Primary

Addresses

Primary practice location

12602 Toepperwein Rd Ste 208
Live Oak, TX 78233-3271

Mailing address

24A 4TH St W Unit 841a
Universal City, TX 78148-5456
Phone (210) 798-6840

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
I20251118000622 TX Practitioner - Nurse Practitioner 9739670761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12602 Toepperwein Rd
Live Oak, TX 78233-3269
Phone (210) 654-7326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1215354TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Family CurrentSince Nov 1, 2025 Accepting new patients

Locations

12602 Toepperwein Rd
Ste 208
Live Oak, TX 78233
Phone (210) 650-9119

7142 San Pedro Ave
Ste 120
San Antonio, TX 78216
Phone (210) 481-7453

Organizations & group practices 1

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": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1548135379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24A 4TH ST W UNIT 841A",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781485456",
            "telephone_number": "210-798-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 208",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333271",
            "telephone_number": "210-403-0794",
            "fax_number": "210-646-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1215354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.