SASHA JULIA CREEDON FNP NPI 1124729447

NPI Information

  • NPI: 1124729447
  • Provider Name: SASHA JULIA CREEDON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22211 I-10 WEST
    SUITE 1206
    SAN ANTONIO, TX
    ZIP 78257
  • Phone: (210) 972-8058

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NPI Details

Sasha Julia Creedon, FNP is a family nurse practitioner in San Antonio, TX with 4 years of experience. Sasha Julia Creedon, FNP NPI is 1124729447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF THE INCARNATE WORD SCHOOL OF OSTEO MEDICINE
Graduation Year:2022

The provider's business location address is:

22211 I-10 WEST
SUITE 1206
SAN ANTONIO, TX
ZIP 78257
Phone: (210) 972-8058

The NPI 1124729447 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2023 and was last updated on 3/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1112066TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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