Individual provider Active NPI

Tia D Waikem, NP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1669076204
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020334 Issued in TX
Practice address
8038 Wurzbach Rd Ste 250
San Antonio, TX 78229-3812
Phone
(210) 807-7341
NPI assigned
Nov 24, 2020
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1020334 TX Primary

Addresses

Primary practice location

8038 Wurzbach Rd Ste 250
San Antonio, TX 78229-3812

Mailing address

8038 Wurzbach Rd Ste 250
San Antonio, TX 78229-3812
Phone (210) 807-7341

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
I20201204000178 TX Practitioner - Nurse Practitioner 2163833682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers South Hill Country Texas, PLLCGroup PAC ID 4284048646, 30 clinicians

Practice addresses (Care Compare)

6393 Babcock Rd
Suite 102
San Antonio, TX 78240-2516
Phone (210) 436-8400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers South Hill Country Texas, PLLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Metabolic and Bariatric Affiliates PLLC Current Accepting new patients
Kevin R. Higgins DPM PA PastSince May 17, 2017 Accepting new patients
Jcsmd PLLC Past Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

6393 Babcock Rd
#102
San Antonio, TX 78240
Phone (726) 200-1725

8038 Wurzbach Rd
Ste 250
San Antonio, TX 78229
Phone (210) 615-8303

901 Bitters Rd
Ste 102
San Antonio, TX 78216

Interoperability endpoints

  • Direct secure messaging: tia.waikem.1@13711.direct.athenahealth.com
  • Direct secure messaging: tiawaikem@pvapa.allscriptsdirect.net

Organizations & group practices 4

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1669076204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 WURZBACH RD STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293812",
            "telephone_number": "210-807-7341",
            "fax_number": "210-807-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 WURZBACH RD STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293812",
            "telephone_number": "210-807-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIKEM",
        "first_name": "TIA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.