NPI age
9 years
Enumerated 2016-11-28
● Active
Type 1 · Individual
Lydia Helen Nefedov, MSN, AGNP-BC
Nefedov is 1 of 237 nurse practitioner providers in San Antonio and 1 of 3226 in Texas.
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
OH, NV, TX, IN
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3226 active nurse practitioner providers in Texas.
NPI age
9 years
↑ 3 yr above median (6 yr)
State licenses
4 states
Top 94% — 6% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-11Enumerated in NPPES
2016
2026
Where they practice
Practice location
3463 Magic Dr Ste T21
San Antonio, TX 782293621
Mailing address
250 N Shadeland Ave
Indianapolis, IN 462194959
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3533 Southern Blvd Ste 5650
Kettering, OH 454291263
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 090540884 | MEDICARE PTAN |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
Recently enumerated nearby: 6 new nurse practitioner providers have been added in San Antonio in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.