Individual provider Active NPI

Dee Anna Lee Guillon, RD,LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1043966831
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87291 Issued in TX
Practice address
646 S Flores St
San Antonio, TX 78204-1219
Phone
(855) 481-1149
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT87291 TX Primary

Addresses

Primary practice location

646 S Flores St
San Antonio, TX 78204-1219

Mailing address

2304 Monaco Dr
Mission, TX 78573-8471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220428000886 TX Practitioner - Registered Dietitian Or Nutrition Professional 6608263231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H-E-B Wellness Services IncGroup PAC ID 7214392729, 16 clinicians

Practice addresses (Care Compare)

1212 S Closner Blvd
Edinburg, TX 78539-5664
Phone (855) 803-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT87291TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B Wellness Services Inc Dietitian, Registered CurrentSince Jan 30, 2024 Accepting new patients
H-E-B, LP CurrentSince Jan 20, 2022 Accepting new patients
H-E-B, LP Dietitian, Registered CurrentSince Jan 20, 2022 Accepting new patients

Locations

1212 S Closner Blvd
Edinburg, TX 78539
Phone (956) 380-6219

925 10th St
Floresville, TX 78114
Phone (830) 393-8098

901 Trenton Rd
McAllen, TX 78504
Phone (956) 618-1889

735 SW Military Dr
San Antonio, TX 78221
Phone (210) 927-6875

646 S Flores St
San Antonio, TX 78204
Phone (210) 938-3182

Interoperability endpoints

  • Direct secure messaging: deeanna.guillon.1@30127.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/30127/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1043966831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 MONACO DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785738471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219",
            "telephone_number": "855-481-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLON",
        "first_name": "DEE ANNA",
        "middle_name": "LEE",
        "credential": "RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-04-19",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.