Individual provider Active NPI

Abimbola Akinterinwa

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1760109342
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1112710 Issued in TX
Practice address
5282 Medical Dr Ste 602
San Antonio, TX 78229-6114
Phone
(312) 978-2061
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041517220 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1112710 TX Primary

Addresses

Primary practice location

5282 Medical Dr Ste 602
San Antonio, TX 78229-6114

Mailing address

5007 Maumee River Dr
Sugar Land, TX 77479-7182

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
I20260121001776 TX Practitioner - Nurse Practitioner 9032696091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5282 Medical Dr
San Antonio, TX 78229-4983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041517220ILMDRegistered Nurse
1112710TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farratti Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Phoenix Mental Health TMS PLLC CurrentSince Oct 27, 2025 Accepting new patients

Locations

23119 W Interstate 10
Bldg 7
San Antonio, TX 78257
Phone (210) 756-3238

5282 Medical Dr
Ste 602
San Antonio, TX 78229
Phone (210) 994-6336

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1760109342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 MAUMEE RIVER DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 602",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296114",
            "telephone_number": "312-978-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINTERINWA",
        "first_name": "ABIMBOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041517220",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1112710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.