Active NPI
Jessica Beristain Herrera, RD, LD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1184398299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT87196
- Practice address
- 5900 Balcones Dr Ste 10804
Austin, TX 78731-4257 - Phone
- (512) 766-5920
- Fax
- (512) 233-0072
- NPI assigned
- Aug 3, 2021
- Last updated
- Mar 15, 2023
- 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 | DT87196 | TX | Primary |
Addresses
Primary practice location
5900 Balcones Dr Ste 10804
Austin, TX 78731-4257
Mailing address
5900 Balcones Dr Ste 10804
Austin, TX 78731-4257
Phone (512) 766-5920
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Nutrition Therapy | Dietitian, Registered | Current | Accepting new patients |
Locations
5900 Balcones Dr
Ste 10804
Austin, TX 78731
Phone (512) 766-5920
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": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1184398299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 10804",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "512-766-5920",
"fax_number": "512-233-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 10804",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "512-766-5920",
"fax_number": "512-233-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERISTAIN HERRERA",
"first_name": "JESSICA",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT87196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.