JENNIFER MARIE SHADROCK (NPI# 1841212073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841212073 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE SHADROCK |
| Credential | FNP |
| Practice Address |
7555 Nw Loop 410 Suite 114 San Antonio TX 78245-2148 |
| Practice Telephone | 2105208070 |
| Practice Fax Number | 2105217688 |
| Mailing Telephone | 2105208070 |
| Mailing Fax Number | 2105217688 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
685159 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PENDING | 05 | |
| TX | BCBS | PENDING | 01 |
| Street Address |
7555 NW LOOP 410 SUITE 114 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78245-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208697 | Timothy Murga II | Physical Therapist | 7555 Nw Loop 410, San Antonio, TX 78245-2353 | 2016-07-12 |
| 1063888725 | Vanessa Oliva | Physical Therapist | 7555 Nw Loop 410, Suite 114, San Antonio, TX 78245-2353 | 2015-08-18 |
| 1285025650 | Earl Warren Ryburn Jr. | Clinic/Center | 7555 Nw Loop 410, #114, San Antonio, TX 78245-2353 | 2015-02-06 |
| 1437597044 | American Current Care Pa | Clinic/Center | 7555 Nw Loop 410, Suite 114, San Antonio, TX 78245-2148 | 2013-06-06 |
| 1235577842 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 7555 Nw Loop 410, Suite 114, San Antonio, TX 78245-2148 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510082 | Ab Solutions LLC | Community/Behavioral Health | 9439 Dugas, San Antonio, TX 78245 | 2020-08-28 |
| 1871113522 | Sharnell Jayana Garza | Licensed Vocational Nurse | 10248 Harora Field, San Antonio, TX 78245 | 2020-04-23 |
| 1003444282 | Rose Bechebuh | Licensed Vocational Nurse | 10766 Gemsbcuk Lodge, San Antonio, TX 78245 | 2020-04-01 |
| 1538700729 | Sng - Westover Hills Dialysis Clinic | Clinic/Center | 9443 Dugas Dr, San Antonio, TX 78245 | 2019-09-30 |
| 1578023974 | Daniel Max & Marcandrea LLC | Optometrist | 8539 Tx 151, San Antonio, TX 78245 | 2019-03-21 |
| 1487112991 | San Antonio Family Dental Pllc | Dentist | 14249 Potranco Road, Ste 104, San Antonio, TX 78245 | 2019-03-05 |
| 1750851333 | Traci Rae L'ecuyer | Student in an Organized Health Care Education/Training Program | 2314 Hornsby Bend, San Antonio, TX 78245 | 2018-11-27 |
| 1992287783 | Leticia Flores | Occupational Therapy Assistant | 8707 Lakeside Parkway, San Antonio, TX 78245 | 2018-08-29 |
| 1649763517 | Four Winds Hospice, Inc | Hospice Care, Community Based | 12703 Coal Mine Rise, San Antonio, TX 78245 | 2018-06-14 |
| 1982106696 | Marbach Smiles Pllc | Dentist | 10910 Marbach Road, San Antonio, TX 78245 | 2018-03-08 |
| Find all providers in zip 78245 | ||||
| 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 | 78245 |
Please comment or provide details below to improve the information on JENNIFER MARIE SHADROCK.
| 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.