Organization Active NPI

Bienestar Nutrition and Diabetes Care, LLC

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1225818982
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BIENESTAR NUTRITION AND DIABETES CARE, LLC
Practice address
17806 Ih 10 W Ste 300
San Antonio, TX 78257-8222
Phone
(210) 876-5188
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Clarice Madrid, R.D.NPI 1871809939
Title
Founder
Phone
(210) 876-5188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

17806 Ih 10 W Ste 300
San Antonio, TX 78257-8222

Mailing address

PO Box 761045
San Antonio, TX 78245-6045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1225818982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761045",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782456045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17806 IH 10 W STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578222",
            "telephone_number": "210-876-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR NUTRITION AND DIABETES CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-01",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "210-876-5188",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Oct 2, 2023; 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.