Individual provider Active NPI

Damiana Nezat

  • Licensed Practical Nurse
  • San Antonio, TX
National Provider Identifier
1871358838
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
232283 Issued in TX
Practice address
437 McCarty Rd Ste 600
San Antonio, TX 78216-4445
Phone
(210) 214-1934
Fax
(210) 314-1940
NPI assigned
Feb 19, 2024
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 232283 TX Primary

Addresses

Primary practice location

437 McCarty Rd Ste 600
San Antonio, TX 78216-4445

Mailing address

8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886

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
232283TXMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maintenance and Recovery Services, Inc. CurrentSince Feb 25, 2024 Accepting new patients
Mars S a LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

8444 N 90th St
Ste 100
Scottsdale, AZ 85258
Phone (480) 494-2497

437 McCarty Rd
Ste 600
San Antonio, TX 78216
Phone (210) 214-1934

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1871358838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 N 90TH ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584437",
            "telephone_number": "602-248-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 MCCARTY RD STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164445",
            "telephone_number": "210-214-1934",
            "fax_number": "210-314-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZAT",
        "first_name": "DAMIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "232283",
            "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 19, 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.

Verify at the official NPI Registry.