Individual provider Active NPI

Nichole Fay Ulibarri, RD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1124659156
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2838 N Loop 1604 E Ste 104
San Antonio, TX 78232-1712
Phone
(210) 495-2117
Fax
(210) 495-4349
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 Primary

Addresses

Primary practice location

2838 N Loop 1604 E Ste 104
San Antonio, TX 78232-1712

Mailing address

2838 N Loop 1604 E Ste 104
San Antonio, TX 78232-1712
Phone (210) 495-2117

Other practice location 1

24200 Ih 10 W Ste 107
San Antonio, TX 78257-1150
Phone (210) 495-2117

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1124659156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 N LOOP 1604 E STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321712",
            "telephone_number": "210-495-2117",
            "fax_number": "210-495-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 N LOOP 1604 E STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321712",
            "telephone_number": "210-495-2117",
            "fax_number": "210-495-4349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24200 Ih 10 W Ste 107",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782571150",
            "country_code": "US",
            "telephone_number": "210-495-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULIBARRI",
        "first_name": "NICHOLE",
        "middle_name": "FAY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Jan 29, 2020; 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.