Gretchen Ann Fivecoat, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

887919

Practice address

1100 Wilford Hall Loop RM 3G053
Jbsa Lackland, TX 78236-5638

Phone

(210) 292-5023

NPI assigned

Dec 20, 2006

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 names 1

• Ms. Gretchen Ann Reinhardt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1891859450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP RM 3G053",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIVECOAT",
        "first_name": "GRETCHEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "887919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "REINHARDT",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane Fernandes, DO
• Kristen Dorian Ferreri, DPT, OCS
• Lyndsey Marie Ferris, OPTOMETRIST
• Charles Ray Fisher Jr., M.D.
• Craig Fisher, MD
• Michelle Sophia Flores, MD
• Kevin Fluckiger, DPM
• Henry Andrew Foerster, DMD
• Marques A Forbes, MSOT
• Michael Andrew Forgione Jr., MD

• Registered Dietitian in Jbsa Lackland, TX
• Providers in Jbsa Lackland, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.