JACOB WOMBLE (NPI# 1639611593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639611593 |
| Entity Type | Individual |
| Full Name | JACOB WOMBLE |
| Practice Address |
12446 West Ave Ste 200 San Antonio TX 78216-2530 |
| Practice Telephone | 2105251668 |
| Practice Fax Number | 2105251669 |
| Mailing Telephone | 2105251668 |
| Mailing Fax Number | 2105251669 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP135236 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12446 WEST AVE STE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548527815 | Bruce M Sheplan | Internal Medicine | 12446 West Ave Ste 200, San Antonio, TX 78216-2530 | 2012-04-11 |
| 1609350024 | Complete Care Medical Associates | Hospitalist | 12446 West Ave Ste 200, San Antonio, TX 78216-2530 | 2018-09-21 |
| 1376025197 | Northeast Pulmonary & Sleep Associates Center LLC | Internal Medicine | 12446 West Ave Ste 200, San Antonio, TX 78216-2530 | 2018-08-29 |
| 1063918985 | Roudette Ferrer | Nurse Practitioner | 12446 West Ave Ste 200, San Antonio, TX 78216-2530 | 2018-03-30 |
| 1770018590 | Aaron Scott Thomas | Internal Medicine | 12446 West Ave Ste 200, San Antonio, TX 78216-2530 | 2017-04-30 |
| 1306250253 | Jonathan Stout | Internal Medicine | 12446 West Ave Ste 200, San Antonio, TX 78216-2530 | 2014-06-19 |
| 1801207873 | Michael Anthony Herzik | Internal Medicine | 12446 West Ave Ste 200, San Antonio, TX 78216-2530 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1427619675 | Divina G Buccellato | Nurse Practitioner | 3070 Colorado Cv, San Antonio, TX 78253-6294 | 2019-06-27 |
| 1194298844 | Taylor Phillips Johnson | Nurse Practitioner | 805 W Woodlawn Ave, San Antonio, TX 78212-3355 | 2019-01-05 |
| 1568947505 | Zachary Taliaferro | Nurse Practitioner | 4204 Gardendale St Ste 312, San Antonio, TX 78229-3141 | 2018-09-25 |
| 1891292181 | Amy Michelle Olvera | Nurse Practitioner | 225 E Sonterra Blvd Ste 201, San Antonio, TX 78258 | 2018-04-12 |
| 1114429982 | Neil Vito Loma Dolotina | Nurse Practitioner | 10455 Horn Blvd, San Antonio, TX 78240-2590 | 2018-03-07 |
| 1386156776 | Connie Cortina Reyes | Nurse Practitioner | 14510 Triple Crown Ln, San Antonio, TX 78248-2502 | 2017-10-25 |
| 1407381056 | Amanda Ann Rodriguez | Nurse Practitioner | 9140 Timber Path Apt 3002, San Antonio, TX 78250-7602 | 2017-04-20 |
| 1255883799 | Esteban Salas Aguirre Jr. | Nurse Practitioner | 10439 Royal Est, San Antonio, TX 78245-3195 | 2016-11-01 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on JACOB WOMBLE.
| 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.