Individual provider Active NPI

Jennifer Carroll Sanchez, RDN,CSR,LD

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1316614571
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT06663 Issued in TX
Practice address
10333 Harwin Dr
Houston, TX 77036-1545
Phone
(281) 793-5554
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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 DT06663 TX Primary

Addresses

Primary practice location

10333 Harwin Dr
Houston, TX 77036-1545

Mailing address

880 Augusta Dr
Houston, TX 77057-2014

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 346-8570254

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

State licenses

LicenseStateTypeSpecialty
DT06663TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Well Life Counseling PLLC CurrentSince Feb 24, 2022 Accepting new patients

Locations

10333 Harwin Dr
Ste 375K
Houston, TX 77036
Phone (281) 638-5713

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1316614571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 AUGUSTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 HARWIN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361545",
            "telephone_number": "281-793-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JENNIFER",
        "middle_name": "CARROLL",
        "credential": "RDN,CSR,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "346-8570254",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "10333 Harwin Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770361545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.