Active NPI
Jyosna Balakrishnan
- Registered Dietitian
- Edinburg, TX
National Provider Identifier
1669874616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT06524
- Practice address
- 1601 E Sprague St
Edinburg, TX 78542-5260 - Phone
- (956) 362-9290
- Fax
- (956) 362-2574
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT06524 | TX | Primary |
Addresses
Primary practice location
1601 E Sprague St
Edinburg, TX 78542-5260
Mailing address
PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141029001473 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 3274754585 | Practice locations: McAllen, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
929 E Esperanza Ave
McAllen, TX 78541
Phone (956) 266-4254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1669874616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "PHARR",
"state": "TX",
"postal_code": "785771614",
"telephone_number": "956-362-2171",
"fax_number": "956-362-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E SPRAGUE ST",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785425260",
"telephone_number": "956-362-9290",
"fax_number": "956-362-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAKRISHNAN",
"first_name": "JYOSNA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT06524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.