MS. BONNIE BAYTA ARCHER (NPI# 1871565507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871565507 |
| Entity Type | Individual |
| Full Name | MS. BONNIE BAYTA ARCHER |
| Credential | RD |
| Practice Address |
1067 Bandera Rd San Antonio TX 78228-4949 |
| Practice Telephone | 2104386319 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DT81389 | TX | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | DT05573 | TX | Dietary & Nutritional Service Providers |
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
DT81389 | TX | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 654738952 | 5735960417 | 5735960524 |
| Street Address |
1067 BANDERA RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-4949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902030695 | Karen A Martin | Dietitian, Registered | 15323 Antler Creek Dr, San Antonio, TX 78248-2012 | 2009-05-08 |
| 1255375572 | Terri Hamons Garza | Dietitian, Registered | 21195 W Interstate 10, Suite 2101, San Antonio, TX 78257-1674 | 2006-06-16 |
| 1396387999 | Rachel H Brownlee-kurita | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-10-15 |
| 1063063691 | Madeline Berndt | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1093366627 | Valerie Lynn O'bar | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1891346417 | Emily Bitetto | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1164073789 | Amy Bellanger | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1083265656 | Christus Santa Rosa Health Care Corporation | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1487205019 | Jennifer Raabe | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1558912170 | Susan Pitzer | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
Please comment or provide details below to improve the information on MS. BONNIE BAYTA ARCHER.
| 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.