Individual provider Active NPI

Theresa Lynne Hennig, RDN

  • Registered Dietitian
  • New Braunfels, TX
National Provider Identifier
1740985829
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
851869 Issued in TX
Practice address
2115 Stephens PL Ste 400B
New Braunfels, TX 78130-2167
Phone
(210) 439-1714
Fax
(830) 730-5652
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 851869 TX Primary

Addresses

Primary practice location

2115 Stephens PL Ste 400B
New Braunfels, TX 78130-2167

Mailing address

3303 Windsor Ranch LN
Katy, TX 77494-4853
Phone (210) 391-7031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230629002608 TX Practitioner - Registered Dietitian Or Nutrition Professional 8022477645 Reassigns benefits to 1 organization
I20251124003758 CA Practitioner - Registered Dietitian Or Nutrition Professional 8022477645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

595 Pacific Ave
FL 4
San Francisco, CA 94133-4681

824 Silverberry Dr
New Braunfels, TX 78132-5425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
851869TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Food 4 Success Dietitian, Registered CurrentSince May 17, 2023 Accepting new patients
Zipongo Health Provider Group P.a. Single Specialty CurrentSince Oct 9, 2025 Accepting new patients

Locations

595 Pacific Ave
Fl 4
San Francisco, CA 94133
Phone (855) 970-3223

1067 FM 306
Ste 404
New Braunfels, TX 78130
Phone (210) 439-1714

2115 Stephens Pl
Ste 400B
New Braunfels, TX 78130
Phone (210) 439-1714

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, 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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1740985829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 WINDSOR RANCH LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944853",
            "telephone_number": "210-391-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL STE 400B",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302167",
            "telephone_number": "210-439-1714",
            "fax_number": "830-730-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIG",
        "first_name": "THERESA",
        "middle_name": "LYNNE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "851869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.