FUNCTIONAL RD, LLC (NPI# 1932627312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932627312 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL RD, LLC |
| Practice Address |
4506 Western Pine Woods San Antonio TX 78249 |
| Mailing Address |
14439 Nw Military Hwy Ste 108 Shavano Park TX 78231-1648 |
| Practice Telephone | 4096585028 |
| Practice Fax Number | 2109206645 |
| Mailing Telephone | 2109200669 |
| Mailing Fax Number | 2109206645 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | AIMEE ELIZABETH SENIOR (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 2109200669 |
| Authorized Official Credential | RD, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT83404 | TX | Dietary & Nutritional Service Providers |
| Street Address |
4506 WESTERN PINE WOODS |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| 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 | 78249 |
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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.