Justin Vine, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP138238 Issued in TX

Practice address

2515 Castroville Rd
San Antonio, TX 78237-3359

Phone

(210) 433-0366

NPI assigned

Jan 2, 2019

Sex

Male

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: justin.vine.1@32118.direct.athenahealth.com
• Direct secure messaging: justin.vine.d3.p1@direct.aguirrepediatrics.nextgenshare.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.

• Hopscotch Health Children'S Urgent Care, PLLC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • San Antonio, TX
  • NPI 1235725094
  Medicare reassignment NPD
• Hopscotch Health Childrens Primary Care PLLC

  • Pediatric Nurse Practitioner
  • San Antonio, TX
  • NPI 1841066206

  Pediatrics

  Medicare reassignment NPD
• Bigfoot Pediatrics LLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1659184166
  NPD Authorized official

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1831662873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373359",
            "telephone_number": "210-433-0366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Bandera Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782285227",
            "country_code": "US",
            "telephone_number": "210-432-2905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7108 Bandera Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782381203",
            "country_code": "US",
            "telephone_number": "210-680-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINE",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP138238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Vincent, LPC
• Jayson Vincent, LAT, ATC
• Sylvia Vincent, SLP
• Vine Behavioral Health and Wellness, PLLC
• Vine Medical Equipment, LLC
• David Lynn Vines, MHS, RRT
• Kayla Vinh
• Danny Vining, PMHNP
• Veena Vinod
• Steven Morris Vinson, P.T.

• 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 May 6, 2025; 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.