Active NPI
Jennifer Lynn Thornton, MS, RD, LD
- Registered Dietitian
- San Antonio, TX
National Provider Identifier
1093083719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 979717
- Practice address
- 1011 Windy Pond
San Antonio, TX 78260-2596 - Phone
- (210) 316-2071
- NPI assigned
- Dec 8, 2011
- 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 | 979717 | TX | Primary |
Addresses
Primary practice location
1011 Windy Pond
San Antonio, TX 78260-2596
Mailing address
1011 Windy Pond
San Antonio, TX 78260-2596
Phone (210) 316-2071
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 |
|---|---|---|---|
| 979717 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1093083719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 WINDY POND",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782602596",
"telephone_number": "210-316-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 WINDY POND",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782602596",
"telephone_number": "210-316-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "979717",
"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 Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.