Active NPI
Blanca A Villarreal, R.D., L.D.
- Registered Dietitian
- Laredo, TX
National Provider Identifier
1649580432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80864
- Practice address
- 3210 Loop 20
Suite 5
Laredo, TX 78043-5009 - Phone
- (956) 508-4279
- NPI assigned
- Oct 14, 2010
- 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 | DT80864 | TX | Primary |
Addresses
Primary practice location
3210 Loop 20
Suite 5
Laredo, TX 78043-5009
Mailing address
PO Box 7022
Laredo, TX 78042-7022
Phone (956) 508-4279
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 |
|---|---|---|---|
| DT80864 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1649580432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7022",
"city": "LAREDO",
"state": "TX",
"postal_code": "780427022",
"telephone_number": "956-508-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 LOOP 20",
"address_2": "SUITE 5",
"city": "LAREDO",
"state": "TX",
"postal_code": "780435009",
"telephone_number": "956-508-4279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "BLANCA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.