DONOVAN MAYCOCK (NPI# 1609151489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609151489 |
| Entity Type | Individual |
| Full Name | DONOVAN MAYCOCK |
| Credential | NUTRITIONIST |
| Practice Address |
16610 San Pedro Avenue San Antonio TX 78232 |
| Practice Telephone | 2107784781 |
| Practice Fax Number | 2105450444 |
| Mailing Telephone | 2107784781 |
| Mailing Fax Number | 2105450444 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12138706 | 01 | |
| AMERICAN FITNESS PROFESSIONALS ASSOCIATION- CERTIFIED NUTRITION | 67752 | 01 |
| Street Address |
16610 SAN PEDRO AVENUE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| 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 |
| 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 |
| 1720611718 | Ana Alicia Primera | Nutritionist | 305 E Ramsey Rd, San Antonio, TX 78216-4636 | 2020-02-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
Please comment or provide details below to improve the information on DONOVAN MAYCOCK.
| 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.