Individual provider Active NPI

Tina Lyn Wheat, REGISTERED NURSE

  • Registered Nurse
  • San Antonio, TX
National Provider Identifier
1821599960
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
844884 Issued in TX
Practice address
9503 Sekula Dr
San Antonio, TX 78250-6912
Phone
(210) 832-2576
NPI assigned
Feb 23, 2018
Last updated
Feb 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 844884 TX Primary

Addresses

Primary practice location

9503 Sekula Dr
San Antonio, TX 78250-6912

Mailing address

9503 Sekula Dr
San Antonio, TX 78250-6912
Phone (210) 832-2576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
844884TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1821599960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9503 SEKULA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782506912",
            "telephone_number": "210-832-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9503 SEKULA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782506912",
            "telephone_number": "210-832-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEAT",
        "first_name": "TINA",
        "middle_name": "LYN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "844884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.