Wanda Jean Tamayo, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP124391 Issued in TX

Practice address

11398 Bandera Rd Ste 201
San Antonio, TX 78250-6827

Phone

(210) 543-7334

Fax

(210) 314-5044

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Texas Medical and Sleep Specialists, PLLC

  • Pediatric Sleep Medicine Physician
  • San Antonio, TX
  • NPI 1164668299

  Pediatrics

  Medicare reassignment NPD
• Kelly J Smith MD PA

  • Pediatric Pulmonology Physician
  • San Antonio, TX
  • NPI 1083829139
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699100412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 BLUE CREST LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325103",
            "telephone_number": "210-452-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11398 BANDERA RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782506827",
            "telephone_number": "210-543-7334",
            "fax_number": "210-314-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "WANDA",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TX",
            "license": "683610",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP124391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Irene Tamasi, SW
• Gabriel Tamayo
• Hector Edwin Tamayo, MD
• Laura K Tamayo
• Mercedes Marie Tamayo, OTR/L
• Elise Janette Tamburelli, DPT
• Nancy Sue Tamburo-Trevino, MA, LPC-S, LCDC,
• Tameka Johnson
• Tamez - Welcome Home, Inc.
• Angelica Nicole Tamez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.