Active NPI
Myrian Jeanette Chavez, MS, RD, LD, CDE
- Registered Dietitian
- San Antonio, TX
National Provider Identifier
1467765032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT07511
- Practice address
- 1200 Brooklyn Avenue
Suite 240
San Antonio, TX 78212-4830 - Phone
- (210) 225-4511
- Fax
- (210) 225-4514
- NPI assigned
- Jul 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT07511 | TX | Primary |
Addresses
Primary practice location
1200 Brooklyn Avenue
Suite 240
San Antonio, TX 78212-4830
Mailing address
7834 Broadway St
#601
San Antonio, TX 78209-2568
Phone (210) 372-2997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961737 | Other | TX | REGISTERED DIETITIAN |
| 2011-0463 | Other | TX | CERTIFIED DIABETES EDUCATOR |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1467765032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7834 BROADWAY ST",
"address_2": "#601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092568",
"telephone_number": "210-372-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BROOKLYN AVENUE",
"address_2": "SUITE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124830",
"telephone_number": "210-225-4511",
"fax_number": "210-225-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "MYRIAN",
"middle_name": "JEANETTE",
"name_prefix": "Ms.",
"credential": "MS, RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT07511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "961737",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED DIABETES EDUCATOR",
"identifier": "2011-0463",
"state": "TX"
}
],
"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 Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.