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DONOVAN MAYCOCK NUTRITIONIST NPI 1609151489


NPI Information

NPI: 1609151489
Provider Name: DONOVAN MAYCOCK, NUTRITIONIST
Classification: Nutritionist - 133N00000X
Entity Type: Individual
Address:
16610 SAN PEDRO AVENUE
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 778-4781
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Donovan Maycock, NUTRITIONIST is a nutritionist in San Antonio, TX. The provider is 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. Donovan Maycock, NUTRITIONIST NPI is 1609151489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16610 SAN PEDRO AVENUE
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 778-4781
Fax: (210) 545-0444

The enumeration date for this NPI number is 10/12/2011 and was last updated on 10/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133NN1002XNutritionistNutrition, EducationNo
2133N00000XNutritionistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112138706OTHERCAQH
267752OTHERAMERICAN FITNESS PROFESSIONALS ASSOCIATION- CERTIFIED NUTRITION AND WELLNESS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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