Active NPI
Jessica Theimer
- Registered Dietitian
- Midland, TX
National Provider Identifier
1194247205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82766
- Practice address
- 1700 Culver Dr
Midland, TX 79705-8301 - Phone
- (325) 277-5469
- NPI assigned
- Jul 10, 2017
- 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 | DT82766 | TX | Primary |
Addresses
Primary practice location
1700 Culver Dr
Midland, TX 79705-8301
Mailing address
1700 Culver Dr
Midland, TX 79705-8301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82766 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Nutrition | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499644800000",
"number": "1194247205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 CULVER DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797058301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CULVER DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797058301",
"telephone_number": "325-277-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEIMER",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2017-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
- The Doria Group Inc.
- The Orthopedic Institute of Midland, L.P.
- The Samaritan Counseling Center of West Texas Inc
- The Springboard Center
- The Young Men'S Christian Association of Midland, Texas
- Therability, Inc
- Therapy for Families
- Michael Edward Thibert II, PA-S
- Ramakrishna Thokala, MD
- Marsha Sue Thomas, RN MSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.