Individual provider Active NPI

Jaclyn Perkins

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1093363145
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1701 Sunset Blvd
Houston, TX 77005-1798
Phone
(713) 526-5511
Fax
(713) 520-4755
NPI assigned
Sep 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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 Primary

Addresses

Primary practice location

1701 Sunset Blvd
Houston, TX 77005-1798

Mailing address

1701 Sunset Blvd
Houston, TX 77005-1798
Phone (713) 526-5511

Other practice location 1

14157 Horseshoe Bnd
Conroe, TX 77384-3521
Phone (713) 992-5808

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL clientcare.net

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": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1093363145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051798",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051798",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14157 Horseshoe Bnd",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773843521",
            "country_code": "US",
            "telephone_number": "713-992-5808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "clientcare.net",
            "affiliation": "N",
            "address_1": "14157 Horseshoe Bnd",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773843521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.