Individual provider Active NPI

Jessica Lewis Worth, P.A.

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1609223031
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09753 Issued in TX
Practice address
250 W Sunset Rd
San Antonio, TX 78209-2651
Phone
(210) 293-2663
Fax
(210) 293-2719
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09753 TX Primary

Addresses

Primary practice location

250 W Sunset Rd
San Antonio, TX 78209-2651

Mailing address

PO Box 546
San Antonio, TX 78292-0546
Phone (210) 293-2663

Other names 1

  • Jessica Olivia Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09753TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew L. Whaley, M.D., P.a. PastSince Jul 7, 2010 Accepting new patients
Dr Bradley Shipman MD PLLC PastSince Jul 15, 2014 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1609223031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782920546",
            "telephone_number": "210-293-2663",
            "fax_number": "210-293-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W SUNSET RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092651",
            "telephone_number": "210-293-2663",
            "fax_number": "210-293-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "JESSICA",
        "middle_name": "LEWIS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEWIS",
            "middle_name": "OLIVIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 16, 2016; 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.