Edy C Chambers, MNT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT05740 Issued in TX

Practice address

525 Oak Centre Dr
Suite 320
San Antonio, TX 78258-3944

Phone

(210) 494-3739

Fax

(210) 494-4508

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Medical Team Diabetes Education Center

  • Home Health Agency
  • San Antonio, TX
  • NPI 1285703751
  NPD (past)
• The Medical Team, Inc.

  • Home Health Agency
  • San Antonio, TX
  • NPI 1205043882
  NPD (past)
• The Medical Team, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Livonia, MI
  • NPI 1427944842
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1649337304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR",
            "address_2": "STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583916",
            "telephone_number": "210-494-3739",
            "fax_number": "210-494-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR",
            "address_2": "SUITE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583944",
            "telephone_number": "210-494-3739",
            "fax_number": "210-494-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "EDY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MNT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DT05740",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Chamberlain, PHARM.D.
• Damian Rashad Chamberlain, MD
• Lance David Chamberlain, PH.D.
• Thaddeus Miles Chamberlain, DDS
• Aubrey Pat Chambers, MD
• Juan R Chambers
• Michael Glynn Chambers, PA-C
• Venessa Chambers
• Vonda Chambers, LVN
• Richard Thomas Chamblin Jr., DC

• Registered Dietitian in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.