Individual provider Active NPI

Vanessa Marie Estrada Coats, M.S, R.D., L.D.

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1376834663
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81762 Issued in TX
Practice address
12617 Dragonfly LN
San Antonio, TX 78253-4181
Phone
(210) 287-8404
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 DT81762 TX Primary

Addresses

Primary practice location

12617 Dragonfly LN
San Antonio, TX 78253-4181

Mailing address

12617 Dragonfly LN
San Antonio, TX 78253-4181
Phone (210) 287-8404

Other practice location 1

6207 Sheridan Ave
Austin, TX 78723-1060
Phone (512) 454-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200511000987 TX Practitioner - Registered Dietitian Or Nutrition Professional 7315378262 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT81762TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dimmit Regional Hospital Current Accepting new patients
Dimmit Regional Hospital CurrentSince May 1, 2024 Accepting new patients
Dimmit Regional Hospital CurrentSince May 1, 2024 Accepting new patients
Dimmit Regional Hospital Current Accepting new patients
Camino Real Community MHMR Center Past Accepting new patients
Any Baby Can of Austin, Inc. PastSince May 14, 2023 Accepting new patients

Locations

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

504 Hospital Dr
Ste B
Carrizo Springs, TX 78834
Phone (830) 876-9458

1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f

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.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1376834663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12617 DRAGONFLY LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534181",
            "telephone_number": "210-287-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 DRAGONFLY LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534181",
            "telephone_number": "210-287-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6207 Sheridan Ave",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787231060",
            "country_code": "US",
            "telephone_number": "512-454-3743",
            "fax_number": "512-334-4465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA COATS",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "M.S, R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81762",
            "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 Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.