AFCC-AFFINITY FAMILY CARE CLINIC (NPI# 1033632443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033632443 |
| Entity Type | Organization |
| Organization Name | AFCC-AFFINITY FAMILY CARE CLINIC |
| Practice Address |
232 Brite Rd Suite 117 Cibolo TX 78108 |
| Mailing Address |
Po Box 264 Cibolo TX 78108-0264 |
| Practice Telephone | 2102472248 |
| Practice Fax Number | 2105797055 |
| Mailing Telephone | 2103857494 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-03-27 |
| Authorized Official Name | MR. SEAN DITTMAN (NURSE PRACTITIONER) |
| Authorized Official Telephone | 2102472248 |
| Authorized Official Credential | APRN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP130293 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 728 Saddle Cyn, Cibolo, TX 781083661 | 2103857728 |
| Street Address |
232 BRITE RD SUITE 117 |
| City | CIBOLO |
| State | TX |
| Zip Code | 78108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947180 | Urban Dental PCs | Dentist | 2451 Fh 1103, #109, Cibolo, TX 78108 | 2019-05-10 |
| 1104381474 | Cvs Pharmacy Inc | Pharmacy | 5334 Fm 1103, Schertz, TX 78108 | 2019-01-31 |
| 1497225973 | Mission Rehabilitation and Sports Medicine Limited Partnership | Physical Therapist | 232 Brite Road, Suite 113, Cibolo, TX 78108 | 2018-11-28 |
| 1417438425 | Laura Daigle | Registered Nurse | 580 Cibolo Valley Dr Ste 221, Cibolo, TX 78108 | 2018-08-27 |
| 1184102147 | Cibolo-south Texas Center for Pediatric Care | Pediatrics | 580 Cibolo Valley Drive, Suite 221, Cibolo, TX 78108 | 2018-08-01 |
| 1346732807 | Cibolo Pediatric Dentistry, Pllc | Dentist | 3738 Cibolo Valley Dr., Cibolo, TX 78108 | 2018-05-31 |
| 1285135251 | Cynthia Schuster | Licensed Vocational Nurse | 3956 Whisper Field, Cibolo, TX 78108 | 2018-02-26 |
| 1710403761 | Samuel Wyatt Hensley | Military Health Care Provider | 100 Cirrus Cv, Cibolo, TX 78108 | 2017-08-21 |
| 1366964744 | Hector Eduardo Pallares-hernandez | Nurse Practitioner | 409 Stonebrook Dr, Cibolo, TX 78108 | 2017-07-07 |
| 1437670163 | Ruth Davis | Specialist/Technologist | 2521 Hourless Oaks Ln, Schertz, TX 78108 | 2017-07-03 |
| Find all providers in zip 78108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073250 | Charlene Dawn Baldwin | Nurse Practitioner | 232 Brite Rd Ste 117, Cibolo, TX 78108-3998 | 2019-09-20 |
| 1750944948 | Latonya Shadowens | Nurse Practitioner | 617 Oakmont Way, Cibolo, TX 78108-4349 | 2019-04-15 |
| 1588173520 | Joshua David Keller | Nurse Practitioner | 201 Lakota Ct, Cibolo, TX 78108-3755 | 2017-09-21 |
| 1366964744 | Hector Eduardo Pallares-hernandez | Nurse Practitioner | 409 Stonebrook Dr, Cibolo, TX 78108 | 2017-07-07 |
| 1922618388 | Janean Vargas | Nurse Practitioner | 232 Brite Rd Ste 117, Cibolo, TX 78108-3998 | 2020-07-31 |
| 1689290223 | Jeffrey Scott Pittman | Nurse Practitioner | 232 Brite Rd Ste 117, Cibolo, TX 78108-3998 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.