Individual provider Active NPI

Rachel Bland, RD, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1154808509
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86019206 Issued in TX
Practice address
400 N Loop 1604 E Ste 175
San Antonio, TX 78232-1231
Phone
(210) 545-4422
NPI assigned
Jul 27, 2018
Last updated
Jul 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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 86019206 TX Primary

Addresses

Primary practice location

400 N Loop 1604 E Ste 175
San Antonio, TX 78232-1231

Mailing address

1742 Donerail St
San Antonio, TX 78248-1127
Phone (210) 748-4161

Other identifiers 1

IdentifierTypeStateIssuer
00Z137MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823001258 TX Practitioner - Registered Dietitian Or Nutrition Professional 3476802596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jan Tilley and AssociatesGroup PAC ID 9234209990, 11 clinicians

Practice addresses (Care Compare)

1870 W Bitters Rd
San Antonio, TX 78248-1827
Phone 21054544224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86019206TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Tilley & Associates Dietitian, Registered CurrentSince Sep 1, 2018 Accepting new patients

Locations

1870 W Bitters Rd
Ste 101
San Antonio, TX 78248
Phone (210) 545-4422

400 N Loop 1604 E
Ste 175
San Antonio, TX 78232
Phone (210) 269-1883

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1154808509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 DONERAIL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481127",
            "telephone_number": "210-748-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 175",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321231",
            "telephone_number": "210-545-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "RACHEL",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86019206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00Z137",
            "state": "TX"
        }
    ],
    "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 Jul 27, 2018; 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.