JEFFERSON FAMILY PRACTICE (NPI# 1417991035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417991035 |
| Entity Type | Organization |
| Organization Name | JEFFERSON FAMILY PRACTICE |
| Practice Address |
9647 Huebner Rd San Antonio TX 78240-1512 |
| Practice Telephone | 2107355225 |
| Practice Fax Number | 2107353207 |
| Mailing Telephone | 2107355225 |
| Mailing Fax Number | 2107353207 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | DR. KIMBERLY K HELLER (PRESIDENT) |
| Authorized Official Telephone | 2107351199 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 083854201 | 05 |
| Street Address |
9647 HUEBNER RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215927272 | Alaina D Hallmark | Family Medicine | 9647 Huebner Rd, San Antonio, TX 78240-1735 | 2005-10-21 |
| 1477803179 | Raina White | Nurse Practitioner | 9647 Huebner Rd, San Antonio, TX 78240-1735 | 2012-09-11 |
| 1922316421 | Tiffany Marie Plunkett-yancich | Nurse Practitioner | 9647 Huebner Rd, San Antonio, TX 78240-1735 | 2010-09-17 |
| 1801905427 | Modesta Garcia-atwater | Nurse Practitioner | 9647 Huebner Rd, San Antonio, TX 78240-1735 | 2006-08-29 |
| 1629068697 | Kimberly K Heller | Family Medicine | 9647 Huebner Rd, San Antonio, TX 78240-1735 | 2005-10-21 |
| 1275523235 | Juanita H Sprute | Family Medicine | 9647 Huebner Rd, San Antonio, TX 78240-1735 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588351 | Procare | Clinic/Center | 20322 Oak Panache, San Antonio, TX 78259-4404 | 2020-01-29 |
| 1639652316 | Beautiful Image of San Antonio | Clinic/Center | 7300 Blanco Rd Ste 704, San Antonio, TX 78216-4942 | 2018-09-10 |
| 1275926115 | University of The Incarnate Word | Clinic/Center | 4301 Broadway St # 30, San Antonio, TX 78209-6318 | 2015-03-17 |
| 1619293529 | Acupunctureworkz, Pllc | Clinic/Center | 16350 Blanco Rd Ste 129, San Antonio, TX 78232-3338 | 2010-04-16 |
| 1316174998 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 6103 Farinon Dr,ste 600, Building Vi, San Antonio, TX 78249-3442 | 2009-06-22 |
| 1396994331 | Concentra Health Services, Inc. | Clinic/Center | 3453 North Highway 35, Suite 110, San Antonio, TX 78219-2333 | 2008-09-15 |
| 1306015177 | Buena Vista Discount Pharmacy | Clinic/Center | 2223 Buena Vista St, San Antonio, TX 78207-3702 | 2008-02-26 |
| 1689706160 | Aidon Marketing Group Ltd | Clinic/Center | 6106 Blazing Trl, San Antonio, TX 78249-2113 | 2007-03-11 |
| 1194779397 | Shahzad A. Sheikh, M.d., P.a. | Clinic/Center | 14351 Blanco Rd, San Antonio, TX 78216-7723 | 2006-05-20 |
| 1467072702 | Tempestt Peoples | Clinic/Center | 7710 W Interstate 10, San Antonio, TX 78230-4711 | 2020-04-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
Please comment or provide details below to improve the information on JEFFERSON FAMILY PRACTICE.
| 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.