Bonnie Bayta Archer, RD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DT81389 Issued in TX

Practice address

1067 Bandera Rd
San Antonio, TX 78228-4949

Phone

(210) 438-6319

NPI assigned

Feb 6, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871565507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782284949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782284949",
            "telephone_number": "210-438-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Missouri Ave",
            "address_2": "MCXP-CCS-CR",
            "address_purpose": "LOCATION",
            "city": "Fort Leonard Wood",
            "state": "MO",
            "postal_code": "654738952",
            "country_code": "US",
            "telephone_number": "573-596-0417",
            "fax_number": "573-596-0524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "BONNIE",
        "middle_name": "BAYTA",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81389",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05573",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT81389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Eslava Arce
• Samantha Morgan Arce, CPHT
• Shirley Rene Arceneaux
• Arch Complete Health, PLLC
• Archangel Therapy Group
• Thomas L. Archer, M.D.
• Dorothy Archibong, PHARM.D.
• Karen Louise Architect, DNP-FNP,BC,APRN
• April M Archuleta
• Debra J Archuleta, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.