Individual provider Active NPI

Vanessa Hethcock, RD, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1588207609
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
17238 Bulverde Rd
San Antonio, TX 78247-2401
Phone
(817) 716-1907
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 Primary

Addresses

Primary practice location

17238 Bulverde Rd
San Antonio, TX 78247-2401

Mailing address

19334 Strauss
San Antonio, TX 78256-2017

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

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Dietitian, Registered CurrentSince Mar 26, 2020 Accepting new patients
H-E-B, LP CurrentSince Mar 26, 2020 Accepting new patients

Locations

17238 Bulverde Rd
San Antonio, TX 78247
Phone (210) 495-0572

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

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1588207609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19334 STRAUSS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17238 BULVERDE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472401",
            "telephone_number": "817-716-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHCOCK",
        "first_name": "VANESSA",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Oct 21, 2019; 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.