TYSHANAE LACOE SPENCE


Address: 615a W Gerald Ave, San Antonio, TX 78221-1112
Phone: 7372186870

TYSHANAE LACOE SPENCE (NPI# 1942825336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942825336
Entity Type Individual
Full Name TYSHANAE LACOE SPENCE
Practice Address 615a W Gerald Ave
San Antonio
TX 78221-1112
Mailing Address 7710 W Interstate 10 # 78230
San Antonio
TX 78230-4711
Practice Telephone 7372186870
Mailing Telephone 7372186870
Enumeration Date 2020-06-11
Last Update Date 2020-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 43863689 TX Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2715 Cornerstone Blvd Edinburg, Tx 78539, San Antonio, TX 78230 7372186870

Office Location

Street Address 615A W GERALD AVE
City SAN ANTONIO
State TX
Zip Code 78221-1112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174025613 Alessi Royalando Jenkins Registered Nurse 11418 Hogan Cv, San Antonio, TX 78221 2018-03-01
1104299528 Melissa Campos Licensed Practical Nurse Wellmed At Sw Military, 517 Sw Military Dr Ste A, San Antonio, TX 78221 2015-11-06
1083055834 Southside Spinal Care Clinic LLC. Chiropractor 1730 Sw Military Dr., Suite 104c, San Antonio, TX 78221 2013-07-09
1164862934 Robert A Castro Dentist 1926 Pleasanton Dr, San Antonio, TX 78221 2013-06-26
1215253851 Maricella Araiza Falcon-marchiori Occupational Therapy Assistant 331 W Gerald, San Antonio, TX 78221 2010-04-07
1992029342 Access Dental of Pleasanton, P.a. Dentist 803 Sw Military Drive, Suite #130, San Antonio, TX 78221 2010-03-15
1598804148 San Juan Primary Home Care Agency Home Health 201 Rayburn Drive, San Antonio, TX 78221 2007-02-06
1669570412 Cvs Pharmacy Inc Pharmacy 103 S W Military Drive, San Antonio, TX 78221 2006-09-20
1649389073 H-e-b, Lp Clinical Medical Laboratory 735 Sw Military Dr, San Antonio, TX 78221 2006-08-30
1790799245 Mayfield Care Center Nursing Facility/Intermediate Care Facility 328 W.mayfield, San Antonio, TX 78221 2006-07-28
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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
1154961704 Alexis Bianca Wells Dietitian, Registered 14111 Vance Jackson Rd Apt 12107, San Antonio, TX 78249-2173 2020-01-12
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Competitor

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City SAN ANTONIO
Zip Code 78221

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Dataset Information

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.

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