Individual provider Active NPI

Abigail Sevigny

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1609622562
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
980771 Issued in TX
Practice address
10350 Bandera Rd Ste 140
San Antonio, TX 78250-5616
Phone
(210) 450-7334
Fax
(210) 450-2124
NPI assigned
Apr 30, 2024
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 980771 TX Primary

Addresses

Primary practice location

10350 Bandera Rd Ste 140
San Antonio, TX 78250-5616

Mailing address

10350 Bandera Rd Ste 140
San Antonio, TX 78250-5616
Phone (210) 450-7334

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
I20241105000398 TX Practitioner - Nurse Practitioner 4981137577 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
980771TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

10350 Bandera Rd
Ste 140
San Antonio, TX 78250
Phone (210) 450-6530

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-6405

8435 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-7334

8435 Wurzbach Rd
Ste 311
San Antonio, TX 78229

Interoperability endpoints

  • Direct secure messaging: asevigny39678@direct.utmsa.com

Organizations & group practices 3

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1609622562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505616",
            "telephone_number": "210-450-7334",
            "fax_number": "210-450-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505616",
            "telephone_number": "210-450-7334",
            "fax_number": "210-450-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVIGNY",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "980771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.