Active NPI
Patricia M Parker, RD, LD, CDE
- Metabolic Nutrition Registered Dietitian
- San Antonio, TX
National Provider Identifier
1073891230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- DT81687
- Practice address
- 10419 Westfield PL
San Antonio, TX 78240-3578 - Phone
- (210) 464-3341
- Fax
- (210) 561-6025
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT81687 | TX | |
| Renal Nutrition Registered Dietitian | 133VN1005X | DT81687 | TX | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | DT81687 | TX | Primary |
Addresses
Primary practice location
10419 Westfield PL
San Antonio, TX 78240-3578
Mailing address
10419 Westfield PL
San Antonio, TX 78240-3578
Phone (210) 464-3341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81687 | TX | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1073891230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10419 WESTFIELD PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403578",
"telephone_number": "210-464-3341",
"fax_number": "210-561-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10419 WESTFIELD PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403578",
"telephone_number": "210-464-3341",
"fax_number": "210-561-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "PATRICIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RD, LD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81687",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "TX",
"license": "DT81687",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "TX",
"license": "DT81687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.