Restore Health Klinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RESTORE HEALTH KLINIC

Doing business as

Restore Health Klinic

Practice address

10140 Huebner Rd
San Antonio, TX 78240-1372

Phone

(210) 290-8027

Fax

(830) 310-8437

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothy Kimberly Saucedo, FNPNPI 1881925691

Title

President

Phone

(210) 290-8027

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Restore Health Klinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorothy Kimberly Saucedo, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1881925691
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1649937780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401372",
            "telephone_number": "210-290-8027",
            "fax_number": "830-310-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401372",
            "telephone_number": "210-290-8027",
            "fax_number": "830-310-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH KLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-290-8027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881925691",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Health Klinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Health Klinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Restko, ACNP-BC
• Restora Solutions PLLC
• Restoration Dental PLLC
• Restore -Recover-Renew LLC (Grateful Hearts Counseling)
• Restore Behavioral Health, PLLC
• Restore Massage
• Restore Primary Care, Wellness and Behavioral Health (Restore Primary Care, Wellness and Behavioral Health, PLLC)
• Restore Primary Care, Wellness and Behavioral Health
• Restoring Balance, PLLC
• Restory Physical Therapy and Wellness LLC

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.