Individual provider Active NPI

Stella Uzoamaka Ihesiaba

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1902618978
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1189129 Issued in TX
Practice address
9730 Westover Hills Blvd
San Antonio, TX 78251-4841
Phone
(210) 366-3700
NPI assigned
Jan 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1189129 TX Primary

Addresses

Primary practice location

9730 Westover Hills Blvd
San Antonio, TX 78251-4841

Mailing address

9847 Marbach BND
San Antonio, TX 78245-1699
Phone (210) 300-0478

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211003059 TX Practitioner - Nurse Practitioner 8123483906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elder Care Behavioral Health Services PLLCGroup PAC ID 9133556160, 7 clinicians

Practice addresses (Care Compare)

1810 Old Granger
Taylor, TX 76574-3564
Phone (512) 352-6337

3220 N Loop 1604
Shavano Park Senior Living
San Antonio, TX 78231-4401
Phone (210) 492-4040

4243 Thousand Oaks Dr
San Antonio, TX 78217-1801
Phone (800) 635-1232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Care Behavioral Health Services PLLC CurrentSince Feb 10, 2025 Accepting new patients
Nova Mind Wellness Psychiatric/Mental Health CurrentSince Aug 10, 2025 Accepting new patients
Angelus Hospice and Palliative Care LLC CurrentSince Jan 26, 2025 Accepting new patients
Anne Esquivel, PH.D., P.a. Past Accepting new patients

Locations

5514 Lone Star Pkwy
Ste 103
San Antonio, TX 78253
Phone (210) 300-0478

1810 Old Granger
#S
Taylor, TX 76574
Phone (512) 352-6337

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1902618978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9847 MARBACH BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451699",
            "telephone_number": "210-300-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 WESTOVER HILLS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514841",
            "telephone_number": "210-366-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHESIABA",
        "first_name": "STELLA",
        "middle_name": "UZOAMAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1189129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.