AMBER GRAPEVINE (NPI# 1821070863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821070863 |
| Entity Type | Individual |
| Full Name | AMBER GRAPEVINE |
| Credential | MS, RD |
| Practice Address |
1303 Mccullough Ave Suite Gl 70 San Antonio TX 78212-5609 |
| Mailing Address |
367 E Ramsey Rd San Antonio TX 78216-4636 |
| Practice Telephone | 2102269705 |
| Practice Fax Number | 2102234555 |
| Mailing Telephone | 2103499300 |
| Mailing Fax Number | 2103662558 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT06583 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE NUMBER | DT06583 | 01 |
| Street Address |
1303 MCCULLOUGH AVE SUITE GL 70 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645372 | Victor Ivan Lyday | Orthopaedic Surgery | 1303 Mccullough Ave, Suite 361, San Antonio, TX 78212-5609 | 2005-08-02 |
| 1588208920 | Lorena Angelica Ramirez | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2019-10-29 |
| 1396388351 | Alexander Saldana | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2019-10-23 |
| 1821524158 | Jesse Lowrance | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2017-05-05 |
| 1619410958 | Sam Mccrary | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2016-11-18 |
| 1306242409 | Rafael Parra and Associates | Neurological Surgery | 1303 Mccullough Ave, Ste 440, San Antonio, TX 78212-5609 | 2014-11-17 |
| 1699193185 | Southern Texas Heart and Vascular Clinic, Pllc | Internal Medicine | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2014-04-01 |
| 1780925768 | San Antonio Lung Center, Pllc | Internal Medicine | 1303 Mccullough Ave, Suite 428, San Antonio, TX 78212-5609 | 2013-03-15 |
| 1619217122 | Gmg Health Systems Associates, Pa | Durable Medical Equipment & Medical Supplies | 1303 Mccullough Ave, Suite 170, San Antonio, TX 78212-5609 | 2013-02-20 |
| 1144572132 | Rebekah T Adai | Nurse Practitioner | 1303 Mccullough Ave, Suite Gl70, San Antonio, TX 78212-5609 | 2012-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706332 | Savor Nutrition LLC | Dietitian, Registered | 319 Sharon Dr, San Antonio, TX 78216-7440 | 2020-09-28 |
| 1407462757 | Shefali Amish Dharia | Dietitian, Registered | 22015 Somerton Ln, San Antonio, TX 78260-3529 | 2020-09-22 |
| 1063025278 | Catherine Rose Valadez | Dietitian, Registered | 15838 Spyglass Trl, San Antonio, TX 78247-5673 | 2020-08-27 |
| 1083226195 | Brooke Ashlyn Respondek | Dietitian, Registered | 2035 Oakland Bnd, San Antonio, TX 78258-7254 | 2020-08-19 |
| 1083224547 | Shelby Rose Birdwell | Dietitian, Registered | 5807 Wexford Pl, San Antonio, TX 78240-3984 | 2020-08-08 |
| 1942825336 | Tyshanae Lacoe Spence | Dietitian, Registered | 615a W Gerald Ave, San Antonio, TX 78221-1112 | 2020-06-11 |
| 1225653702 | Chelsea Edwards | Dietitian, Registered | 5602 Presidio Pkwy Apt 2340, San Antonio, TX 78249-3174 | 2020-06-10 |
| 1366065245 | Angela Susan Garcia | Dietitian, Registered | 615 Point Spgs, San Antonio, TX 78253-5645 | 2020-05-26 |
| 1912539446 | Paola Borelo | Dietitian, Registered | 5650 Worth Pkwy Apt 4306, San Antonio, TX 78257-1525 | 2020-02-12 |
| 1609416916 | Cynthia Cano Garza | Dietitian, Registered | 22811 Sabine Smt, San Antonio, TX 78258-2402 | 2020-01-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.