Individual provider Active NPI

Jessica Lynn Salazar, APRN - FNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679906077
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
733196 Issued in TX
Practice address
1139 E Sonterra Blvd
#405
San Antonio, TX 78258-4347
Phone
(210) 404-0000
Fax
(210) 404-2812
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 733196 TX Primary
Family Nurse Practitioner 363LF0000X 733196 TX

Addresses

Primary practice location

1139 E Sonterra Blvd
#405
San Antonio, TX 78258-4347

Mailing address

1139 E Sonterra Blvd Ste 405
San Antonio, TX 78258-4352
Phone (210) 404-0000

Other identifiers 3

IdentifierTypeStateIssuer
328346701MedicaidTX
P01297191OtherTXRAILROAD MEDICARE PTAN
8293NDOtherTXBCBSTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JESSICA.SALAZAR@hca7.eclinicaldirectplus.com

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
I20131231001639 TX Practitioner - Nurse Practitioner 4082842794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC CurrentSince Jan 1, 2014 Accepting new patients

Locations

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1139 E Sonterra Blvd
Ste 405
San Antonio, TX 78258
Phone (210) 404-0000

8109 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 575-0355

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

Interoperability endpoints

  • Direct secure messaging: jessica.salazar@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679906077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584352",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD",
            "address_2": "#405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584347",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN - FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "733196",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "733196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328346701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01297191",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8293ND",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JESSICA.SALAZAR@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1139 E Sonterra Blvd",
            "address_2": "#405",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782584347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.