PRIMERA WELLNESS LLC (NPI# 1154945913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154945913 |
| Entity Type | Organization |
| Organization Name | PRIMERA WELLNESS LLC |
| Practice Address |
1603 Babcock Rd Ste 238-2 San Antonio TX 78229-4708 |
| Mailing Address |
6956 Indiana Ave Ste 5 Riverside CA 92506-4109 |
| Practice Telephone | 2105633779 |
| Practice Fax Number | 9514621161 |
| Mailing Telephone | 9514232202 |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |
| Authorized Official Name | JODI BENNETT (ADMINISTRATOR) |
| Authorized Official Telephone | 9514232202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| Street Address |
1603 BABCOCK RD STE 238-2 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430794 | Darvin Levar Phillips Jr. | Nutritionist | 13423 Blanco Rd Ste 593, San Antonio, TX 78216-2187 | 2020-05-29 |
| 1598387870 | Nina Carr | Nutritionist | 9323 Bartlett Fls, San Antonio, TX 78250-3515 | 2020-05-10 |
| 1417454398 | Alyssa Carmona | Nutritionist | 6322 Sovereign St Ste 240, San Antonio, TX 78229-5134 | 2018-04-09 |
| 1740607548 | Cesar Xavier Chavez | Nutritionist | 10627 Janet Lee Dr, San Antonio, TX 78230-4215 | 2014-03-19 |
| 1326386491 | John H Abdo | Nutritionist | 4337 Vance Jackson Rd, Suite 101, San Antonio, TX 78230-5347 | 2013-01-24 |
| 1801154042 | Southwest Healty Living | Nutritionist | 16350 Blanco Rd. Ste 111, Nutrawise, San Antonio, TX 78232 | 2012-04-25 |
| 1609151489 | Donovan Maycock | Nutritionist | 16610 San Pedro Avenue, San Antonio, TX 78232 | 2011-10-12 |
| 1467771733 | Maria Veronica Prado | Nutritionist | 12470 Starcrest Dr, Apt 817, San Antonio, TX 78216-8503 | 2010-05-25 |
| 1659516615 | Jarra L Green-calderon | Nutritionist | 9602 Antoine Forest Dr, San Antonio, TX 78254-5648 | 2008-12-04 |
| 1548456171 | Kasie Lynn Sanderson | Nutritionist | 9502 Huebner Rd Ste 301, San Antonio, TX 78240-1683 | 2007-09-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.