NPI age
14 years
Enumerated 2011-10-12
● Active
Type 1 · Individual
Donovan Maycock, NUTRITIONIST
Maycock is 1 of 18 nutritionist providers in San Antonio and 1 of 261 in Texas.
Primary specialty
Nutritionist
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2011-10-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 261 active nutritionist providers in Texas.
NPI age
14 years
↑ 10 yr above median (4 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-10Enumerated in NPPES
2011
2026
Where they practice
Practice location
16610 San Pedro Avenue
San Antonio, TX 78232
Mailing address
16610 San Pedro Avenue
San Antonio, TX 78232
Specialties
-
Nutritionist PrimaryA 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...
-
NutritionistDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 12138706 | CAQH |
| 01 | 67752 | AMERICAN FITNESS PROFESSIONALS ASSOCIATION- CERTIFIED NUTRITION AND WELLNESS |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nutritionist provider has been added in San Antonio in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.