Active NPI
Alexandria Concepcion Cantu, RD, LD
- Registered Dietitian
- San Antonio, TX
National Provider Identifier
1578100616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT86290
- Practice address
- 9542 Cantura CRST
San Antonio, TX 78250-1719 - Phone
- (210) 387-3383
- NPI assigned
- Dec 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT86290 | TX | Primary |
Addresses
Primary practice location
9542 Cantura CRST
San Antonio, TX 78250-1719
Mailing address
9542 Cantura CRST
San Antonio, TX 78250-1719
Phone (210) 387-3383
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86119534 | Other | TX | REGISTRATION ID NUMBER |
| DT86290 | Other | TX | LICENSED DIETITIAN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1578100616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9542 CANTURA CRST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782501719",
"telephone_number": "210-387-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9542 CANTURA CRST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782501719",
"telephone_number": "210-387-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "ALEXANDRIA",
"middle_name": "CONCEPCION",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT86290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION ID NUMBER",
"identifier": "86119534",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN",
"identifier": "DT86290",
"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 Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.