Active NPI
Bienestar Nutrition and Diabetes Care, LLC
- Registered Dietitian
- San Antonio, TX
National Provider Identifier
1225818982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clarice Madrid, R.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryPractitioners & 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.