Individual provider Active NPI

Priscilla Luna Delgado, RD, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1659948107
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84025 Issued in TX
Practice address
3922 Wiseman Blvd BLDG 1
San Antonio, TX 78251-1668
Phone
(855) 803-9355
Fax
(855) 710-7869
NPI assigned
Jun 4, 2021
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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 DT84025 TX Primary

Addresses

Primary practice location

3922 Wiseman Blvd BLDG 1
San Antonio, TX 78251-1668

Mailing address

646 S Flores St
San Antonio, TX 78204-1219
Phone (855) 803-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210828000101 TX Practitioner - Registered Dietitian Or Nutrition Professional 5193120103 Reassigns benefits to 2 organizations

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
H-E-B Wellness Services IncGroup PAC ID 7214392729, 16 clinicians

Practice addresses (Care Compare)

3922 Wiseman Blvd
BLDG 1
San Antonio, TX 78251-1668
Phone (855) 803-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Dietitian, Registered CurrentSince May 25, 2021 Accepting new patients
H-E-B Wellness Services Inc Dietitian, Registered CurrentSince Jan 30, 2024 Accepting new patients
H-E-B, LP CurrentSince May 25, 2021 Accepting new patients

Locations

925 10th St
Floresville, TX 78114
Phone (830) 393-8098

3922 Wiseman Blvd
Bldg 1
San Antonio, TX 78251

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30127/brand/1/csg/1/fhir/r4
  • Direct secure messaging: priscilla.lunadelgado.1@30127.direct.athenahealth.com

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, 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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1659948107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219",
            "telephone_number": "855-803-9355",
            "fax_number": "855-710-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511668",
            "telephone_number": "855-803-9355",
            "fax_number": "855-710-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "PRISCILLA",
        "middle_name": "LUNA",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84025",
            "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 Jun 7, 2024; 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.