Active NPI
Pooneh Nichol Farah, NP-C
- Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1047555
- Practice address
- 11034 W Military Dr Ste 101
San Antonio, TX 78251-1938 - Phone
- (281) 783-8162
- NPI assigned
- Aug 18, 2021
- Last updated
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1047555 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 1047555 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 1047555 | TX |
Addresses
Primary practice location
11034 W Military Dr Ste 101
San Antonio, TX 78251-1938
Mailing address
5807 Cecilyann
San Antonio, TX 78253-6410
Phone (210) 325-5849
Other practice location 1
5807 Cecilyann
San Antonio, TX 78253-6410
Phone (210) 325-5849
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12651 Vance Jackson Rd
Suite 114
San Antonio, TX 78230-5960
Phone (210) 762-3780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047555 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nluc PLLC | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| American Current Care, P.a. | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Texas Healthnet Medical Clinic LTD. | Family Medicine | Current | Accepting new patients |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients |
Locations
15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304
4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255
1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571
12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
11034 W Military Dr
Ste 101
San Antonio, TX 78251
12651 Vance Jackson Rd
Ste 114
San Antonio, TX 78230
Phone (210) 762-3780
5211 FM 2920 Rd
Ste 101
Spring, TX 77388
16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479
Organizations & group practices 8
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.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1518209113
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1578631040
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
dba Next Level Urgent Care-League City
- Urgent Care Clinic/Center
- League City, TX
- NPI 1043814049
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1891461042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5807 CECILYANN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782536410",
"telephone_number": "210-325-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11034 W MILITARY DR STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782511938",
"telephone_number": "281-783-8162"
}
],
"practiceLocations": [
{
"address_1": "5807 Cecilyann",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782536410",
"country_code": "US",
"telephone_number": "210-325-5849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARAH",
"first_name": "POONEH",
"middle_name": "NICHOL",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1047555",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1047555",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1047555",
"primary": false
}
],
"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 Sep 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.