Theresa Padinjarekuttu

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

0001200477 Issued in VA

Practice address

9939 Texas 151 Access Rd
San Antonio, TX 78251

Phone

(804) 503-1953

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1578390423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9142 YEARLING ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542249",
            "telephone_number": "804-503-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 TEXAS 151 ACCESS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "804-503-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADINJAREKUTTU",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "VA",
            "license": "0001200477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Gerardo Padilla
• Patricia Padilla, RN,C
• Sierra Nicole Padilla, MA, BCBA
• Valentina Ava Padilla
• Xavier A Padilla
• Aylin Lorraine Padir, MD
• Sarah Esguerra Padlan I, PT,DPT
• Padma Counseling, PLLC
• Souparnika Divakaran Padmini
• Marianne Kristine Cipriano Padolina

• Administrator Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.