Jennifer M Mantica, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

788659 Issued in TX

Practice address

3110 Nogalitos Ste 105
San Antonio, TX 78225-2337

Phone

(210) 533-0257

Fax

(210) 534-0890

NPI assigned

Mar 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Interoperability endpoints

• Direct secure messaging: jennifer.mantica.1@14883.direct.athenahealth.com

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.

• David a Ramos M.D., P.a.

  dba R Family Medical Group

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1306199039
  Medicare reassignment NPD

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1801355185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MADISON OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 NOGALITOS STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252337",
            "telephone_number": "210-533-0257",
            "fax_number": "210-534-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTICA",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "788659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Mansour
• Sara Mansour, MD
• Noor Mansouri, BDS, MSD, CAGS
• Michael A Mansueto, DDS MS
• Yogamaya Mantha
• Krishana Mohan Mantravadi, M.D.
• Kelsey Canavan Mantz, LCSW
• Alessandra Mantzey, LCSW
• Albert Pradeep Manudhane, MD
• Manuel a. Lopez, MD, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.