Active NPI
Selina Dina Nanna, PNP
- Pediatric Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 765018
- Practice address
- 8606 Village Dr
San Antonio, TX 78217-5506 - Phone
- (210) 657-0220
- Fax
- (210) 590-7288
- NPI assigned
- Sep 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 765018 | TX | Primary |
Addresses
Primary practice location
8606 Village Dr
San Antonio, TX 78217-5506
Mailing address
8606 Village Dr Ste a
San Antonio, TX 78217-5506
Phone (210) 657-0220
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Healthcare Associates, PLLC | Pediatrics | Current | Accepting new patients |
| Northeast Pediatric Associates PA | Pediatrics | Past | Accepting new patients |
Locations
14100 San Pedro Ave
Ste 200
San Antonio, TX 78232
300 E Sonterra Blvd
Ste 320
San Antonio, TX 78258
Phone (210) 619-2710
1139 E Sonterra Blvd
#205
San Antonio, TX 78258
Phone (210) 614-2229
8606 Village Dr
#A
San Antonio, TX 78217
Phone (210) 657-0220
8606 Village Dr
San Antonio, TX 78217
Phone (210) 488-6405
1139 E Sonterra Blvd
Ste 205
San Antonio, TX 78258
Phone (210) 614-2229
5000 Schertz Pkwy
Ste 202
Schertz, TX 78154
Phone (210) 651-1055
Interoperability endpoints
- selina@npa.pcc-direct.com
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 and National Provider Directory roles.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1902994080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1588090849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8606 VILLAGE DR STE A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175506",
"telephone_number": "210-657-0220",
"fax_number": "210-590-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8606 VILLAGE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175506",
"telephone_number": "210-657-0220",
"fax_number": "210-590-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANNA",
"first_name": "SELINA",
"middle_name": "DINA",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "765018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.