Individual provider Active NPI

Randahl Capurro-Reeve, RDN, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1104481613
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84564 Issued in TX
Practice address
8039 Big BND
San Antonio, TX 78250-2842
Phone
(210) 446-8568
NPI assigned
May 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT84564 TX Primary

Addresses

Primary practice location

8039 Big BND
San Antonio, TX 78250-2842

Mailing address

8039 Big BND
San Antonio, TX 78250-2842
Phone (210) 446-8568

Other names 1

  • Mr. Randy Capurro Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712001754 TX Practitioner - Registered Dietitian Or Nutrition Professional 3072848050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H-E-B Wellness Services IncGroup PAC ID 7214392729, 16 clinicians

Practice addresses (Care Compare)

925 10TH St
Floresville, TX 78114-1851
Phone (855) 803-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT84564TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Jun 1, 2019 Accepting new patients
H-E-B, LP Dietitian, Registered CurrentSince Jun 1, 2019 Accepting new patients
H-E-B Wellness Services Inc Dietitian, Registered CurrentSince Jan 30, 2024 Accepting new patients

Locations

925 10th St
Floresville, TX 78114
Phone (830) 393-8098

9710 Katy Fwy
Houston, TX 77055
Phone (713) 647-5950

735 SW Military Dr
San Antonio, TX 78221
Phone (210) 927-6875

646 S Flores St
San Antonio, TX 78204
Phone (210) 938-3182

Interoperability endpoints

  • Direct secure messaging: randahl.capurroreeve.1@30127.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/30127/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1104481613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 BIG BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502842",
            "telephone_number": "210-446-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 BIG BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502842",
            "telephone_number": "210-446-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPURRO-REEVE",
        "first_name": "RANDAHL",
        "name_prefix": "Mr.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "CAPURRO",
            "prefix": "MR.",
            "credential": "RDN, LD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.