Individual provider Active NPI

Jessica Brasher, RDN, LDN

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1225630908
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1087613 Issued in TX
Practice address
646 S Flores St
San Antonio, TX 78204-1219
Phone
(855) 803-9355
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X 1087613 TX Primary

Addresses

Primary practice location

646 S Flores St
San Antonio, TX 78204-1219

Mailing address

646 S Flores St
San Antonio, TX 78204-1219
Phone (855) 803-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120000813 TX Practitioner - Registered Dietitian Or Nutrition Professional 4284045360 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1087613TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Oct 6, 2020 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince Apr 26, 2024 Accepting new patients
H-E-B Wellness Services Inc Dietitian, Registered CurrentSince Feb 13, 2024 Accepting new patients
H-E-B, LP Dietitian, Registered CurrentSince Oct 6, 2020 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
H-E-B, LP Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

515 S Flower St
#1015
Los Angeles, CA 90071

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

1806 Highway 35
Ste 203A
Oakhurst, NJ 07755

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

9710 Katy Fwy
Houston, TX 77055
Phone (713) 647-5950

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

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

735 SW Military Dr
San Antonio, TX 78221
Phone (210) 927-6875

20311 Champion Forest Dr
Spring, TX 77379
Phone (281) 376-2652

20311 Champion Forest Dr
Ste E510
Spring, TX 77379

Interoperability endpoints

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

Organizations & group practices 6

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1225630908",
    "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",
            "telephone_number": "855-803-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219",
            "telephone_number": "855-803-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHER",
        "first_name": "JESSICA",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "1087613",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.