Individual provider Active NPI

Rodasha Mumphery, MS RD LD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1205658366
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT89751 Issued in TX
Practice address
1000 E 41St St # 805
Austin, TX 78751-4810
Phone
(855) 803-9355
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 DT89751 TX Primary

Addresses

Primary practice location

1000 E 41St St # 805
Austin, TX 78751-4810

Mailing address

646 S Flores St
San Antonio, TX 78204-1219

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120001314 TX Practitioner - Registered Dietitian Or Nutrition Professional 5991230559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H-E-B Wellness Services IncGroup PAC ID 7214392729, 16 clinicians

Practice addresses (Care Compare)

8601 S Congress Ave
Suite 110
Austin, TX 78745-7492
Phone (855) 803-9355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B Wellness Services Inc Dietitian, Registered CurrentSince Nov 1, 2024 Accepting new patients

Locations

1000 E 41st St
Ste 805
Austin, TX 78751

8601 S Congress Ave
Ste 110
Austin, TX 78745

8801 S Congress Ave
Austin, TX 78745
Phone (512) 292-8662

925 10th St
Floresville, TX 78114
Phone (830) 393-8098

1701 W Alabama St
Houston, TX 77098
Phone (713) 522-3200

646 S Flores St
San Antonio, TX 78204
Phone (210) 938-3182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30127/brand/1/csg/1/fhir/r4

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1205658366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 41ST ST # 805",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514810",
            "telephone_number": "855-803-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMPHERY",
        "first_name": "RODASHA",
        "credential": "MS RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89751",
            "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 Oct 29, 2024; 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.