Individual provider Active NPI

Bethany L Zimbicki, RD

  • Metabolic Nutrition Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1114162153
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DT05508 Issued in TX
Practice address
7863 Callaghan Rd
Suite 206
San Antonio, TX 78229-2453
Phone
(832) 237-3500
Fax
(832) 237-0200
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X DT05508 TX Primary

Addresses

Primary practice location

7863 Callaghan Rd
Suite 206
San Antonio, TX 78229-2453

Mailing address

3 Riverway
Suite 825
Houston, TX 77056-1919
Phone (713) 840-5245

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050129000227 TX Practitioner - Registered Dietitian Or Nutrition Professional 4284684994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

26112 Overlook Pkwy
Suite 1100
San Antonio, TX 78260-6054
Phone (210) 497-2338

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

4103 N Loop 1604
San Antonio, TX 78249-1380
Phone (210) 541-8689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT05508TXMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Mar 19, 2012 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 19, 2012 Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients
Dcoa Physician Associates PA Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Dcoa Physicians PA Past Accepting new patients

Locations

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

26112 Overlook Pkwy
Ste 1100
San Antonio, TX 78260
Phone (210) 497-2338

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

Organizations & group practices 6

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1114162153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RIVERWAY",
            "address_2": "SUITE 825",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561919",
            "telephone_number": "713-840-5245",
            "fax_number": "281-897-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 CALLAGHAN RD",
            "address_2": "SUITE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292453",
            "telephone_number": "832-237-3500",
            "fax_number": "832-237-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBICKI",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT05508",
            "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 Dec 4, 2008; 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.