Individual provider Active NPI

Carla Cos, RD,LD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1699289801
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85056 Issued in TX
Practice address
5900 Balcones Dr Ste 165
Austin, TX 78731
Phone
(512) 338-4500
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT85056 TX Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 165
Austin, TX 78731

Mailing address

PO Box 171235
Austin, TX 78717-0042
Phone (512) 250-9140

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

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

State licenses

LicenseStateTypeSpecialty
DT85056TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Jan 1, 2021 Accepting new patients
H-E-B, LP Dietitian, Registered CurrentSince Jan 1, 2021 Accepting new patients

Locations

735 SW Military Dr
San Antonio, TX 78221
Phone (210) 927-6875

Interoperability endpoints

  • Direct secure messaging: carla.cos.1@16041.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1699289801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787170042",
            "telephone_number": "512-250-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 165",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-338-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COS",
        "first_name": "CARLA",
        "credential": "RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.