Individual provider Active NPI

Vonda K Tew-Clouse, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1649853540
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1034567 Issued in TX
Practice address
3310 Oakwell CT Apt 19101
San Antonio, TX 78218-3985
Phone
(864) 915-2971
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000028507 TN
Family Nurse Practitioner 363LF0000X 1034567 TX Primary

Addresses

Primary practice location

3310 Oakwell CT Apt 19101
San Antonio, TX 78218-3985

Mailing address

3310 Oakwell CT Apt 19101
San Antonio, TX 78218-3985
Phone (864) 915-2971

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

State licenses

LicenseStateTypeSpecialty
APN0000028507TNMDFamily Nurse Practitioner
1034567TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1649853540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 OAKWELL CT APT 19101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183985",
            "telephone_number": "864-915-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 OAKWELL CT APT 19101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183985",
            "telephone_number": "864-915-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEW-CLOUSE",
        "first_name": "VONDA",
        "middle_name": "K",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000028507",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1034567",
            "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 Apr 29, 2021; 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.