MRS. JARRA L GREEN-CALDERON (NPI# 1659516615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659516615 |
| Entity Type | Individual |
| Full Name | MRS. JARRA L GREEN-CALDERON |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
9602 Antoine Forest Dr San Antonio TX 78254-5648 |
| Practice Telephone | 8325600254 |
| Mailing Telephone | 8325600254 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | 754909 | TX | Dietary & Nutritional Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP143451 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9602 ANTOINE FOREST DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78254-5648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1083222384 | Deshannon Stamps | Registered Nurse | 8745 Fischer Falls, San Antonio, TX 78254 | 2020-07-22 |
| 1962041558 | Synergenx Health - Alamo Ranch San Antonio LLC | Clinic/Center | Culebra Commons, Phase II, W Loop 1604 N and Culebra Rd, Suite 204, San Antonio, TX 78254 | 2019-12-30 |
| 1295227254 | Wendy Dawn Theriot | Counselor | 9046 Herman Hollow, San Antonio, TX 78254 | 2018-06-05 |
| 1457843666 | Accumed Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6923 W Loop 1604 N, Suite 208, San Antonio, TX 78254 | 2018-06-04 |
| 1730687971 | Shaenfield Dental Pllc | Dentist | 8110 West Loop 1604 North, Suite 101, San Antonio, TX 78254 | 2018-01-23 |
| 1942728712 | Amanda Raen Flores | Specialist/Technologist | 9515 Winding Elm, San Antonio, TX 78254 | 2017-08-31 |
| 1720451925 | Francisca M. Maddefa | Home Health | 9514 Autumn Breeze, San Antonio, TX 78254 | 2015-11-10 |
| 1912376880 | Alamo Springs Dental, Pllc | Dentist | 11590 Galm Rd, Suite 109, San Antonio, TX 78254 | 2015-09-21 |
| 1740656255 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 9050 Fm 1560 N, San Antonio, TX 78254 | 2015-08-19 |
| Find all providers in zip 78254 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1033719521 | Macy Atkins | Nurse Practitioner | 6676 Utsa Blvd, San Antonio, TX 78249-5100 | 2020-10-26 |
| 1801494554 | Yordanis Rafael Fonseca Vega | Nurse Practitioner | 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 | 2020-10-14 |
| 1255939237 | Ashley Elizabeth Swartz | Nurse Practitioner | 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 | 2020-10-13 |
| 1871190173 | Cynthia B Elkins | Nurse Practitioner | 24806 Terlingua Bnd, San Antonio, TX 78261-2726 | 2020-10-08 |
| 1588270623 | Amanda Razo | Nurse Practitioner | 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 | 2020-09-23 |
| 1255946935 | Norberto Hernandez Iv | Nurse Practitioner | 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 | 2020-09-10 |
| 1033723655 | Hira Mughal | Nurse Practitioner | 9850 Twinbear Crk, San Antonio, TX 78245-9596 | 2020-09-01 |
| 1366055675 | Maria Christina Cruz Tijerina | Nurse Practitioner | 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 | 2020-08-26 |
| 1225649593 | Gina M Duron | Nurse Practitioner | 10730 Green Trail Dr, San Antonio, TX 78223-4224 | 2020-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78254 |
Please comment or provide details below to improve the information on MRS. JARRA L GREEN-CALDERON.
| 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.