Jennifer Wible, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1309 Goldilocks LN
Manchaca, TX 78652-4532

Phone

(512) 522-6136

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1699320960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 GOLDILOCKS LN",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786524532",
            "telephone_number": "404-825-7331",
            "fax_number": "866-533-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 GOLDILOCKS LN",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786524532",
            "telephone_number": "512-522-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Broadway St Ste 217",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782095732",
            "country_code": "US",
            "telephone_number": "210-320-0979 x5",
            "fax_number": "866-533-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIBLE",
        "first_name": "JENNIFER",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Lauren Vancil, LMSW
• Christi Vanderbilt, LPC-A
• Charlyn L Watson, LPC
• Bianelly Valdez Welch
• Parker White, MSN, APRN, FNP-C
• Stephanie Willoughby, FDN-P
• Barbara Elaine Wilson Clay, BSED IBCLC
• Nina Renee Wolf, LPC INTERN
• Sandra Joyce Woods, LPC
• Kathryn Wristen, LMSW

• All providers in Manchaca, TX
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.