HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC – NPI #1033925789
Nurse Practitioner

(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.

HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC is a nurse practitioner located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1033925789 to HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC on December 07, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Although multiple taxonomy codes were selected, this provider has not selected a primary taxonomy at this time.

The NPI profile was last updated on May 11, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC below.

NPI Profile for
HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC

NPI Number
1033925789
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC
Primary location
4940 BROADWAY STE 100
SAN ANTONIO, TX 78209-5732
Phone: (210) 403-2343 Fax: (210) 403-2350
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JERI PENKAVA
SOLE OWNER
Phone: (210) 403-2343
Updated
Certification Date
May 11, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX520125301
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.