JENNIFER CAUDILL (NPI# 1962879577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962879577 |
| Entity Type | Individual |
| Full Name | JENNIFER CAUDILL |
| Credential | PA-C |
| Practice Address |
1616 Callaghan Rd San Antonio TX 78228-4315 |
| Practice Telephone | 2104351218 |
| Practice Fax Number | 2104353162 |
| Mailing Telephone | 2104351218 |
| Mailing Fax Number | 2104353162 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083925879 | Jennifer Anne Caudill | Massage Therapist | 440 Main Street Lot 10, Salt Lick, KY 40371-0119 | 2010-06-25 |
| 1518175116 | Jennifer Trepte Caudill | Dermatology | 5885 S. Main St., Suite 1, Clarkston, MI 48346 | 2007-05-18 |
| 1629543830 | Jennifer R Caudill | Occupational Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2031 | 2018-10-04 |
| 1295112837 | Jennifer Caudill | Marriage & Family Therapist | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2015-05-04 |
| Street Address |
1616 CALLAGHAN RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003837758 | Javier C Bocanegra | Family Medicine | 1616 Callaghan Rd, San Antonio, TX 78228 | 2006-07-21 |
| 1457815797 | Gabriela Maria Gonzalez | Physician Assistant | 1616 Callaghan Rd, San Antonio, TX 78228-4315 | 2019-01-30 |
| 1740657816 | Clarissa Cuellar | Physician Assistant | 1616 Callaghan Rd, San Antonio, TX 78228-4315 | 2015-08-25 |
| 1659671394 | John Anthony Kazen | Physician Assistant | 1616 Callaghan Rd, San Antonio, TX 78228-4315 | 2010-10-28 |
| 1295825990 | Community Family Medicine Pa | Family Medicine | 1616 Callaghan Rd, San Antonio, TX 78228 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
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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.