Active NPI
Bethany L Zimbicki, RD
- Metabolic Nutrition Registered Dietitian
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- DT05508
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT05508 | TX | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | 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.
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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.