Active NPI
Hannah Mae Tabanao, NP-C
- Adult Health Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP134796
- Practice address
- 2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650 - Phone
- (210) 599-6000
- Fax
- (210) 657-5586
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP134796 | TX | Primary |
Addresses
Primary practice location
2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650
Mailing address
2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650
Phone (210) 599-6000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8530 FM
Suite 78
Converse, TX 78109-1032
Phone (210) 436-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306030 | NY | MD | Transplant Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center,Inc. | Current | Accepting new patients | |
| VMD Primary Providers South Hill Country Texas, PLLC | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients |
Locations
8530 FM 78
Converse, TX 78109
Phone (210) 662-7764
9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
8210 Callaghan Rd
San Antonio, TX 78230
6393 Babcock Rd
#102
San Antonio, TX 78240
Phone (726) 200-1725
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
Interoperability endpoints
- hannah.mae.tabanao.1@13711.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1902400880
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1851843619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1669739496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410 STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175650",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410 STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175650",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABANAO",
"first_name": "HANNAH MAE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-18",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP134796",
"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 Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.