Individual provider Active NPI

Nicole Allenia Harris, MS, RDN, LD, IFNCP

  • Registered Dietitian
  • Round Rock, TX
National Provider Identifier
1184123523
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84838 Issued in TX
Practice address
2681 Gattis School Rd Ste 140
Round Rock, TX 78664-2057
Phone
(512) 726-2120
NPI assigned
Feb 11, 2018
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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 DT84838 TX Primary

Addresses

Primary practice location

2681 Gattis School Rd Ste 140
Round Rock, TX 78664-2057

Mailing address

3323 Scenic LN
San Antonio, TX 78230-3454
Phone (102) 708-8931

Other practice location 1

25230 Kingsland Blvd Ste 101
Katy, TX 77494-2097
Phone (281) 746-9284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002002893 TX Practitioner - Registered Dietitian Or Nutrition Professional 8022462571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
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
Suite 101
San Antonio, TX 78248-1827
Phone 21054544224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86074091TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Tilley & Associates Dietitian, Registered CurrentSince Aug 14, 2023 Accepting new patients
Bariatric Medical Institute of Texas, PLLC PastSince Oct 1, 2021 Accepting new patients

Locations

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

Organizations & group practices 2

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": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1184123523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 SCENIC LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303454",
            "telephone_number": "102-708-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 GATTIS SCHOOL RD STE 140",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642057",
            "telephone_number": "512-726-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25230 Kingsland Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774942097",
            "country_code": "US",
            "telephone_number": "281-746-9284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "NICOLE",
        "middle_name": "ALLENIA",
        "credential": "MS, RDN, LD, IFNCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.