MRS. JODI LEE SACKS (NPI# 1558565903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558565903 |
| Entity Type | Individual |
| Full Name | MRS. JODI LEE SACKS |
| Credential | RN ANP |
| Practice Address |
4241 Woodcock Dr Suite A-100 San Antonio TX 78228-1328 |
| Mailing Address |
15202 Fall Place Dr San Antonio TX 78247-3226 |
| Practice Telephone | 2107855255 |
| Practice Fax Number | 2107855389 |
| Mailing Telephone | 2104994848 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
722046 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4241 WOODCOCK DR SUITE A-100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841307873 | Christus Continuing Care | Home Health | 4241 Woodcock Dr, Suite A-100, San Antonio, TX 78228-1328 | 2006-08-24 |
| 1528224730 | Mari Botello Feist | Physical Therapist | 4241 Woodcock Dr, Ste. A-100, San Antonio, TX 78228-1328 | 2008-08-06 |
| 1578739900 | Deanna Ramirez | Physical Therapist | 4241 Woodcock Dr, Ste A100, San Antonio, TX 78228-1328 | 2008-05-06 |
| 1134399900 | Christopher John Gillis | Occupational Therapist | 4241 Woodcock Dr, A100, San Antonio, TX 78228-1328 | 2008-03-07 |
| 1235291139 | Ken Rogers Smith | Internal Medicine | 4241 Woodcock Dr, Suite A-100, San Antonio, TX 78228-1328 | 2006-12-15 |
| 1922106681 | Christus Continuing Care | Hospice, Inpatient | 4241 Woodcock Dr, Suite A-100, San Antonio, TX 78228-1328 | 2006-09-20 |
| 1710085477 | Christus Continuing Care | Nursing Care | 4241 Woodcock Dr, Suite A-100, San Antonio, TX 78228-1328 | 2006-09-20 |
| 1821191206 | Christus Continuing Care | Home Health | 4241 Woodcock Dr, Suite A-100, San Antonio, TX 78228-1328 | 2006-09-07 |
| 1235232612 | Christus Continuing Care | Clinical Nurse Specialist | 4241 Woodcock Dr, Suite A-100, San Antonio, TX 78228-1328 | 2006-09-07 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981066 | Gabriel David Alonso | Nurse Practitioner | 12554 Hillside Rnch, San Antonio, TX 78254-6266 | 2020-08-01 |
| 1811458094 | Kimberly Detherow | Nurse Practitioner | 126 Main Plz, San Antonio, TX 78205-2745 | 2019-03-28 |
| 1730685108 | Dimitra Denise Dunlap | Nurse Practitioner | 21827 Barton Woods, San Antonio, TX 78259-2350 | 2018-04-03 |
| 1780186601 | Melissa Ortiz | Nurse Practitioner | 1205 N Loop 1604 W Ste 232, San Antonio, TX 78258-4631 | 2018-03-07 |
| 1659687333 | Robert Chuck Hunt | Nurse Practitioner | 2011 E Houston St Ste 101a, San Antonio, TX 78202-2916 | 2010-08-19 |
| 1124207733 | Diana Lynn Stansbury-bartolomeo | Nurse Practitioner | 1714 Sw Military Dr, San Antonio, TX 78221-1411 | 2007-10-31 |
| 1700912904 | Paula Frances Christianson-silva | Nurse Practitioner | 7703 Floyd Curl Dr Rm 1.422, San Antonio, TX 78229-3901 | 2007-02-24 |
| 1174503742 | Keith Leilan Morgan | Nurse Practitioner | 16302 Ross Oak St, San Antonio, TX 78247-1333 | 2006-01-19 |
| 1841849171 | Linda Esmeralda Gutierrez | Nurse Practitioner | 8401 Datapoint Dr Ste 300, San Antonio, TX 78229-5925 | 2019-09-09 |
| 1164980827 | Daniel Pizana | Nurse Practitioner | 7979 Wurzbach Rd, San Antonio, TX 78229-4427 | 2019-03-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
Please comment or provide details below to improve the information on MRS. JODI LEE SACKS.
| 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.