NPI 1871565507 · live from the CMS NPI Registry
Bonnie Bayta Archer, RD
Dietitian, Registered, Nutrition, Pediatric in San Antonio, TX. National Provider Identifier 1871565507, active.
NPI record
| NPI | 1871565507 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Pediatric 133VN1004X |
| Practice location | 1067 Bandera Rd, San Antonio, TX 78228 |
| Practice phone | 210-438-6319 |
| Enumerated | February 6, 2006 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | DT81389 (TX) |
| Dietitian, Registered, Nutrition, Pediatric primary | 133VN1004X | DT81389 (TX) |
| Dietitian, Registered | 133V00000X | DT05573 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.