IndividualActive
Demetrius Willis, MBA, MS, RD, LD, CPT
NPI 1508098567 · Registered Dietitian · San Antonio, TX
Provider details
- NPI number
- 1508098567
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MBA, MS, RD, LD, CPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- DT81138 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
225 E Sonterra Blvd
San Antonio, TX 78258-3992
Phone: (210) 477-2799
Street-level locationGet directions
Mailing address
6422 Merlin Way
San Antonio, TX 78233-4661
Registry dates
- Enumerated
- 2009-08-10
- Last updated
- 2009-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.