Individual provider Active NPI

Andrea Rosario Cobbs

  • Registered Dietitian
  • New Braunfels, TX
National Provider Identifier
1104400977
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
85007964 Issued in TX
Practice address
43 Yu Dr
New Braunfels, TX 78130-2458
Phone
(512) 484-8660
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 85007964 TX Primary

Addresses

Primary practice location

43 Yu Dr
New Braunfels, TX 78130-2458

Mailing address

1308 E Common St Ste 205
New Braunfels, TX 78130-3561
Phone (512) 484-8660

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
85007964TXMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1104400977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E COMMON ST STE 205",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303561",
            "telephone_number": "512-484-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YU DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302458",
            "telephone_number": "512-484-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBS",
        "first_name": "ANDREA",
        "middle_name": "ROSARIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "85007964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.