Active NPI
Jessica Jeanne Reynolds, R.D.N., LDN, CNSC
- Registered Dietitian
- Austin, TX
National Provider Identifier
1043505340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82776
- Practice address
- 5555 N Lamar Blvd
Suite 125D
Austin, TX 78751-1073 - Phone
- (512) 324-1891
- NPI assigned
- Jun 14, 2011
- 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 | DT82776 | TX | Primary |
Addresses
Primary practice location
5555 N Lamar Blvd
Suite 125D
Austin, TX 78751-1073
Mailing address
5555 N Lamar Blvd
Suite 125D
Austin, TX 78751-1073
Phone (512) 324-1891
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1043505340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 N LAMAR BLVD",
"address_2": "SUITE 125D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511073",
"telephone_number": "512-324-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 N LAMAR BLVD",
"address_2": "SUITE 125D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511073",
"telephone_number": "512-324-1891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JESSICA",
"middle_name": "JEANNE",
"credential": "R.D.N., LDN, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.