Individual provider Active NPI

Maria Veronica Prado, L.D.

  • Nutritionist
  • San Antonio, TX
National Provider Identifier
1467771733
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
80111 Issued in TX
Practice address
12470 Starcrest Dr
Apt 817
San Antonio, TX 78216-8503
Phone
(210) 403-2677
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 80111 TX Primary
Nutrition Education Nutritionist 133NN1002X 80111 TX

Addresses

Primary practice location

12470 Starcrest Dr
Apt 817
San Antonio, TX 78216-8503

Mailing address

12470 Starcrest Dr
Apt 817
San Antonio, TX 78216-8503
Phone (210) 403-2677

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

LicenseStateTypeSpecialty
80111TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1467771733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 STARCREST DR",
            "address_2": "APT 817",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782168503",
            "telephone_number": "210-403-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 STARCREST DR",
            "address_2": "APT 817",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782168503",
            "telephone_number": "210-403-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "MARIA",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TX",
            "license": "80111",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "80111",
            "primary": false
        }
    ],
    "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 May 25, 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.

Verify at the official NPI Registry.