Active NPI
Jordan McHenry, RD LD
- Registered Dietitian
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT87702
- Practice address
- 700 E Park Blvd Ste 206
Plano, TX 75074-5472 - Phone
- (972) 422-9180
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT87702 | TX | Primary |
Addresses
Primary practice location
700 E Park Blvd Ste 206
Plano, TX 75074-5472
Mailing address
700 E Park Blvd Ste 206
Plano, TX 75074-5472
Phone (972) 422-9180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutriphasics, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
10260 SW Greenburg Rd
Fl 44
Portland, OR 97223
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
400 Chisholm Pl
Ste 100
Plano, TX 75075
Phone (888) 422-8070
700 E Park Blvd
Ste 206
Plano, TX 75074
Phone (469) 564-4211
Networks
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- TX HMO
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- TX HMO D-SNP
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1003417437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E PARK BLVD STE 206",
"city": "PLANO",
"state": "TX",
"postal_code": "750745472",
"telephone_number": "972-422-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E PARK BLVD STE 206",
"city": "PLANO",
"state": "TX",
"postal_code": "750745472",
"telephone_number": "972-422-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHENRY",
"first_name": "JORDAN",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2023-09-21",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT87702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.