Individual provider Active NPI

Jessica Xian Chen, RD,LD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1528459138
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT83460 Issued in TX
Practice address
6500 N Mopac
BLDG III, Ste 220
Austin, TX 78731-3288
Phone
(512) 338-4500
Fax
(512) 338-4501
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 DT83460 TX Primary

Addresses

Primary practice location

6500 N Mopac
BLDG III, Ste 220
Austin, TX 78731-3288

Mailing address

PO Box 500202
Austin, TX 78750-0202
Phone (512) 250-9140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchen292312@direct.sw.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326000794 TX Practitioner - Registered Dietitian Or Nutrition Professional 8325365653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

3141 Eagles Nest St
Unit 240
Round Rock, TX 78665-2334
Phone (512) 509-0200

500 Canyon Ridge Dr
Suite 208
Austin, TX 78753-1632
Phone (512) 654-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Sep 30, 2019 Accepting new patients
Scott & White Clinic CurrentSince Sep 30, 2019 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

500 Canyon Ridge Dr
Ste 208
Austin, TX 78753
Phone (512) 654-7800

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

4945 Williams Dr
Georgetown, TX 78633
Phone (512) 819-0500

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

425 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

403 Mallard Ln
Taylor, TX 76574
Phone (512) 352-4000

546 N Kegley Rd
Temple, TX 76502
Phone (254) 215-0900

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Organizations & group practices 3

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": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1528459138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787500202",
            "telephone_number": "512-250-9140",
            "fax_number": "512-250-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC",
            "address_2": "BLDG III, STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313288",
            "telephone_number": "512-338-4500",
            "fax_number": "512-338-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JESSICA",
        "middle_name": "XIAN",
        "credential": "RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchen292312@direct.sw.org",
            "affiliation": "N",
            "address_1": "6500 N MOPAC",
            "address_2": "BLDG III, STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787313288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 1, 2022; 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.