Active NPI
Karen Sue Poenisch, R.D., L.D., C.D.E.
- Metabolic Nutrition Registered Dietitian
- San Antonio, TX
National Provider Identifier
1386876381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 583390
- Practice address
- 8042 Wurzbach Rd Ste 230
San Antonio, TX 78229-3806 - Phone
- (210) 963-6100
- Fax
- (210) 461-5060
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DT81223 | TX | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 583390 | IN | Primary |
Addresses
Primary practice location
8042 Wurzbach Rd Ste 230
San Antonio, TX 78229-3806
Mailing address
12911 Walking Horse
Helotes, TX 78023-4570
Phone (210) 896-0133
Other practice location 1
12911 Walking Horse
Helotes, TX 78023-4570
Phone (210) 896-0133
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81223 | TX | MD | Pediatric Nutrition Registered Dietitian |
| 583390 | IN | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonika Gupta, M.D., PLLC | Current | Accepting new patients |
Locations
8042 Wurzbach Rd
Ste 230
San Antonio, TX 78229
Phone (210) 570-5015
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- San Antonio, TX
- NPI 1033513205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1386876381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 WALKING HORSE",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234570",
"telephone_number": "210-896-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8042 WURZBACH RD STE 230",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293806",
"telephone_number": "210-963-6100",
"fax_number": "210-461-5060"
}
],
"practiceLocations": [
{
"address_1": "12911 Walking Horse",
"address_purpose": "LOCATION",
"city": "Helotes",
"state": "TX",
"postal_code": "780234570",
"country_code": "US",
"telephone_number": "210-896-0133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POENISCH",
"first_name": "KAREN",
"middle_name": "SUE",
"credential": "R.D., L.D., C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "TX",
"license": "DT81223",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "IN",
"license": "583390",
"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 Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.