Organization Active NPI

Diabetes America

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1871964171
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81872 Issued in TX
Legal business name
DIABETES AMERICA
Practice address
20330 Huebner Rd
San Antonio, TX 78258-3508
Phone
(210) 491-9655
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Susan Ngundu, RD
Title
Diabetic Educator
Phone
(210) 491-9655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT81872 TX Primary

Addresses

Primary practice location

20330 Huebner Rd
San Antonio, TX 78258-3508

Mailing address

20330 Huebner Rd
San Antonio, TX 78258-3508

National Provider Directory

National Provider Directory
Tax ID family
Diabetes America5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20330 Huebner Rd
San Antonio, TX 78258
Phone (210) 491-9655

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1871964171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20330 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20330 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583508",
            "telephone_number": "210-491-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "NGUNDU",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIABETIC EDUCATOR",
        "authorized_official_telephone_number": "210-491-9655",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81872",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2015; 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.