Individual provider Active NPI

Rebecca Santomassimo, APRN

  • Primary Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1649701798
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP133348 Issued in TX
Practice address
3303 Rogers Rd
Suite 120
San Antonio, TX 78251-3687
Phone
(210) 520-5040
Fax
(210) 520-5232
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP133348 TX Primary

Addresses

Primary practice location

3303 Rogers Rd
Suite 120
San Antonio, TX 78251-3687

Mailing address

11212 State Hwy 151 Medical Plaza 1
Suite 240
San Antonio, TX 78251-6517
Phone (210) 682-9434

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP133348TXMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1649701798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HWY 151 MEDICAL PLAZA 1",
            "address_2": "SUITE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782516517",
            "telephone_number": "210-682-9434",
            "fax_number": "210-682-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROGERS RD",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513687",
            "telephone_number": "210-520-5040",
            "fax_number": "210-520-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOMASSIMO",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP133348",
            "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 May 2, 2018; 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.