The Trim Texan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE TRIM TEXAN

Practice address

18834 Stone Oak Pkwy Ste 104a
San Antonio, TX 78258-4113

Phone

(210) 793-5849

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Nicole Wall, NPNPI 1740798917

Title

FNP-C/Owner

Phone

(210) 739-5849

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer N Wall, MSN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1740798917
  NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1962232041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18834 STONE OAK PKWY STE 104A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584113",
            "telephone_number": "210-793-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18834 STONE OAK PKWY STE 104A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584113",
            "telephone_number": "210-793-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRIM TEXAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "FNP-C/OWNER",
        "authorized_official_telephone_number": "210-739-5849",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.