Individual provider Active NPI

Shefali R Ajmera, M.S, R.D, L.D

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1407034093
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT80407 Issued in TX
Practice address
13706 Research Blvd
Suite 211G
Austin, TX 78750-1882
Phone
(512) 998-5255
Fax
(888) 668-6889
NPI assigned
Feb 6, 2008
Last updated
Dec 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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 DT80407 TX Primary

Addresses

Primary practice location

13706 Research Blvd
Suite 211G
Austin, TX 78750-1882

Mailing address

13706 Research Blvd
Suite 211G
Austin, TX 78750-1882
Phone (512) 998-5255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000653 TX Practitioner - Registered Dietitian Or Nutrition Professional 2062670581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

660 S Bagdad Rd
Unit 310
Leander, TX 78641-5049
Phone (832) 874-9744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DT80407TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Blissnutri Wellness LLC Dietitian, Registered CurrentSince Oct 5, 2021 Accepting new patients
Webnutri.Com Consulting, LLC Dietitian, Registered Current Accepting new patients

Locations

325 Ranch Road 620 S
Ste 100
Lakeway, TX 78734

660 S Bagdad Rd
Ste 310
Leander, TX 78641
Phone (512) 772-6788

1000 Heritage Center Cir
Round Rock, TX 78664
Phone (512) 608-4054

Organizations & group practices 2

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1407034093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13706 RESEARCH BLVD",
            "address_2": "SUITE 211G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501882",
            "telephone_number": "512-998-5255",
            "fax_number": "888-668-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13706 RESEARCH BLVD",
            "address_2": "SUITE 211G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501882",
            "telephone_number": "512-998-5255",
            "fax_number": "888-668-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJMERA",
        "first_name": "SHEFALI",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.S, R.D, L.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80407",
            "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 Dec 4, 2015; 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.