Active NPI
Jennifer Renee Adams, MS, RD, LD
- Registered Dietitian
- Fredericksburg, TX
National Provider Identifier
1033554571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82237
- Practice address
- 1020 S State Highway 16
Fredericksburg, TX 78624-4471 - Phone
- (830) 997-1312
- NPI assigned
- May 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | DT82237 | TX | Primary |
Addresses
Primary practice location
1020 S State Highway 16
Fredericksburg, TX 78624-4471
Mailing address
21303 Encino Commons
Apt 1703
San Antonio, TX 78259-2696
Phone (325) 518-6627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076885 | Other | TX | REGISTERED DIETITIAN |
| DT82237 | Other | TX | LICENSED DIETITIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82237 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1033554571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21303 ENCINO COMMONS",
"address_2": "APT 1703",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592696",
"telephone_number": "325-518-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S STATE HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244471",
"telephone_number": "830-997-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JENNIFER",
"middle_name": "RENEE",
"name_prefix": "Miss",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "1076885",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN",
"identifier": "DT82237",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.