Individual provider Active NPI

Nancy Chavez-Coleman

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1720666126
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029156 Issued in TX
Practice address
2925 West Ave
San Antonio, TX 78201-2243
Phone
(210) 761-3393
Fax
(210) 761-3397
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 1934000000X TX
Family Nurse Practitioner 363LF0000X 1029156 TX Primary

Addresses

Primary practice location

2925 West Ave
San Antonio, TX 78201-2243

Mailing address

2925 West Ave
San Antonio, TX 78201-2243
Phone (210) 761-3393

Other practice location 1

5107 Medical Dr
San Antonio, TX 78229-4801
Phone (210) 614-8612 ext. 1301

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
I20211118002348 TX Practitioner - Nurse Practitioner 0547659245 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1934000000XTXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonika Gupta, M.D., PLLC Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Cano Health, LLC Single Specialty Past Accepting new patients

Locations

8042 Wurzbach Rd
Ste 230
San Antonio, TX 78229
Phone (210) 570-5015

Organizations & group practices 2

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1720666126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012243",
            "telephone_number": "210-761-3393",
            "fax_number": "210-761-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012243",
            "telephone_number": "210-761-3393",
            "fax_number": "210-761-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294801",
            "country_code": "US",
            "telephone_number": "210-614-8612 x1301",
            "fax_number": "855-265-3783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ-COLEMAN",
        "first_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "1934000000X",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.