Jacqueline S Carder, RD, LD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

DT81640 Issued in TX

Practice address

13214 Loma Vallejo
San Antonio, TX 78233-2418

Phone

(402) 429-3543

Fax

(210) 579-6489

NPI assigned

Dec 1, 2006

Last updated

Aug 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1417025016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13214 LOMA VALLEJO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782332418",
            "telephone_number": "402-429-3543",
            "fax_number": "210-579-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13214 LOMA VALLEJO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782332418",
            "telephone_number": "402-429-3543",
            "fax_number": "210-579-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDER",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "DT81640",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT81640",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT81640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudy Hernandez Cardenas, OTR
• Saron Cardenas
• Shelby Nicole Cardenas
• Sonia Alvarez Cardenas, LCSW-S
• Taylor Cardenas, DNP, RN
• Cardiac Cath Lab of San Antonio LP (South Texas Cardiovascular and Rhythm Center)
• Cardiac Cin of West Texas LLC
• Cardiac Electrophysiology Consultants of South Texas, PA
• Denise Cardin-Abney, PH.D.
• Cardinal Senior Care LLC

• Renal Nutrition Registered Dietitian in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Renal Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.