Individual provider Active NPI

Barbara Bennett Blow, C-PNP

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1952717050
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP125559 Issued in TX
Practice address
9401 Starcrest Dr
San Antonio, TX 78217-4162
Phone
(210) 483-9229
Fax
(210) 483-9185
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP125559 TX Primary

Addresses

Primary practice location

9401 Starcrest Dr
San Antonio, TX 78217-4162

Mailing address

9401 Starcrest Dr
San Antonio, TX 78217-4162
Phone (210) 483-9229

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
I20190117000815 TX Practitioner - Nurse Practitioner 0840536520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125559TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cec Alamo Heights ER Physicians PLLC CurrentSince Mar 1, 2020 Accepting new patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients
Alamo Heights Complete Care LLC Past Accepting new patients

Locations

6496 N New Braunfels Ave
San Antonio, TX 78209
Phone (210) 930-4500

Organizations & group practices 3

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1952717050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 STARCREST DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174162",
            "telephone_number": "210-483-9229",
            "fax_number": "210-483-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 STARCREST DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174162",
            "telephone_number": "210-483-9229",
            "fax_number": "210-483-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOW",
        "first_name": "BARBARA",
        "middle_name": "BENNETT",
        "credential": "C-PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP125559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.