Julie Williams Poidevin, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06079 Issued in TX

Practice address

400 N Loop 1604 E Ste 175
San Antonio, TX 78232-1231

Phone

(210) 545-4422

Fax

(210) 545-4495

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1124587183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 STAR MICA",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068499",
            "telephone_number": "210-722-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 175",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321231",
            "telephone_number": "210-545-4422",
            "fax_number": "210-545-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIDEVIN",
        "first_name": "JULIE",
        "middle_name": "WILLIAMS",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Pogue, RBT
• Beth A Pogue
• Chad A Pogue, MPT
• Marci Pohl
• Darren Poidevin, CPO
• Olga Poindexter
• Claire Pointon
• Genevieve Priscilla Poitras, DDS
• Blake Poje, IONM
• Celeste G Pokorney, DDS, DHSC

• Registered Dietitian in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.