Active NPI
Anusha N Momin
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1871300178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1151071
- Practice address
- 22222 Akin Doe
San Antonio, TX 78261-2177 - Phone
- (210) 442-9303
- NPI assigned
- Dec 11, 2024
- Last updated
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1151071 | TX | Primary |
Addresses
Primary practice location
22222 Akin Doe
San Antonio, TX 78261-2177
Mailing address
22222 Akin Doe
San Antonio, TX 78261-2177
Phone (210) 442-9303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1151071 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1871300178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22222 AKIN DOE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782612177",
"telephone_number": "210-442-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22222 AKIN DOE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782612177",
"telephone_number": "210-442-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMIN",
"first_name": "ANUSHA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1151071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Molly Moloney
- Momentum Physical & Sports Rehabilitation Limited Partnership
- Momentum Physical & Sports Rehabilitation Limited Partnership
- Momentum Physical & Sports Rehabilitation Limited Partnership
- Amrin Amir Momin, PHARM.D
- Ayaan S. Momin
- Muniza Momin, NP
- Rehman Momin
- Sabah Ali Momin, DO
- Simin Hazrat Momin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.