Active NPI
My Nutrition Studio
- Registered Dietitian
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80988
- Legal business name
- MY NUTRITION STUDIO
- Practice address
- 4940 Broadway St
Ste 118
San Antonio, TX 78209-5747 - Phone
- (210) 320-0979
- Fax
- (866) 533-2028
- NPI assigned
- Jun 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer L Hagendorf, MS, RDN, LD
- Title
- Registered Dietitian Nutritionist
- Phone
- (210) 320-0979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80988 | TX | Primary |
Addresses
Primary practice location
4940 Broadway St
Ste 118
San Antonio, TX 78209-5747
Mailing address
305 E Magnolia Ave
San Antonio, TX 78212-3010
Phone (210) 320-0979
National Provider Directory
National Provider DirectoryLocations
4940 Broadway
Ste 118
San Antonio, TX 78209
Phone (210) 320-0979
4940 Broadway
Ste 126
San Antonio, TX 78209
242 W Sunset Rd
Ste 102
San Antonio, TX 78209
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- San Antonio, TX
- NPI 1336849983
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1124477583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E MAGNOLIA AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782123010",
"telephone_number": "210-320-0979",
"fax_number": "866-533-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 BROADWAY ST",
"address_2": "STE 118",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782095747",
"telephone_number": "210-320-0979",
"fax_number": "866-533-2028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY NUTRITION STUDIO",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "HAGENDORF",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
"authorized_official_telephone_number": "210-320-0979",
"authorized_official_credential": "MS, RDN, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80988",
"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 Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.