Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376731885 Individual Practitioner Male Practitioner

Tim Senthavisouk , NP

Nurse Practitioner • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Tim Senthavisouk, NP is a registered healthcare professional specializing in Nurse Practitioner in San Antonio, TX. Practice services are available at 4800 FREDERICKSBURG RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4800 Fredericksburg Rd
Suite 127

San Antonio, TX 782293628

Telephone 2107335072
Fax 2107338649
Associated Practice Facility / Clinic
🏢 Vpa Of Texas Pllc Facility NPI 1174561575

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
394 Specialists

Practicing in San Antonio, TX (4894 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 775309

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX 775309

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CA NP 16316

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0930196740 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Michael Dorsa , MD

Family Medicine

NPI 1043219827

Doctor of Medicine (M.D.)

Brenda Harper , APRN

Nurse Practitioner - Adult Health

NPI 1083992044

Advanced Practice Registered Nurse

NPI 1104049592

Doctor of Medicine (M.D.)

Dr. Arlene Olaisen , MD

Internal Medicine

NPI 1134233463

Doctor of Medicine (M.D.)

Snoda Alahmad , APRN

Nurse Practitioner - Gerontology

NPI 1205323862

Advanced Practice Registered Nurse

Dr. Hai Pham , MD

Internal Medicine

NPI 1316042849

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2014

Registered at 4800 FREDERICKSBURG RD, SUITE 127, SAN ANTONIO, TX 782293628 (Tel: 2107335072)

📍
Updated Business Mailing Address May 05, 2014

Registered at PO BOX 1239, TROY, MI 480991239 (Tel: 2488246600)

👤
Provider Name / Credentials Updated May 05, 2014

Recorded as TIM SENTHAVISOUK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2014

Nurse Practitioner (License #775309 in TX)

🟢
Initial NPI Registration & Enumeration October 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376731885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2007
Last Update: May 05, 2014
Sole Proprietor: No

Mailing Address

Po Box 1239

Troy, MI 480991239

Phone: 2488246600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.