BLAKE MENCHACA (NPI# 1699217547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699217547 |
| Entity Type | Individual |
| Full Name | BLAKE MENCHACA |
| Credential | AG-ACNP |
| Practice Address |
21 Spurs Ln Ste 230b San Antonio TX 78240-1671 |
| Mailing Address |
21 Spurs Ln Ste 230b San Antonio TX 78240-1669 |
| Practice Telephone | 2106907400 |
| Practice Fax Number | 2106907405 |
| Mailing Telephone | 2106907400 |
| Mailing Fax Number | 2106907405 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP132573 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21 SPURS LN STE 230B |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240-1671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003042573 | Kimberly Anne Lucas Slimane | Nurse Practitioner | 21 Spurs Ln Ste 230b, San Antonio, TX 78240-1671 | 2009-06-10 |
| 1063954964 | Kimberly Whitely | Nurse Practitioner | 21 Spurs Ln Ste 230b, San Antonio, TX 78240-1671 | 2016-11-08 |
| 1932531977 | Med Center Intensivists of San Antonio | Internal Medicine | 21 Spurs Ln Ste 230b, San Antonio, TX 78240-1671 | 2013-08-01 |
| 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 | 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 | 78240 |
Please comment or provide details below to improve the information on BLAKE MENCHACA.
| 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.