Active NPI
Heidi Lyn Jensen, MS, RD, LD
- Registered Dietitian
- San Antonio, TX
National Provider Identifier
1750528766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80952
- Practice address
- 9618 Huebner Rd Ste 202
San Antonio, TX 78240-1776 - Phone
- (201) 651-0303
- Fax
- (210) 651-0302
- NPI assigned
- Jan 13, 2009
- 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 | DT80952 | TX | Primary |
Addresses
Primary practice location
9618 Huebner Rd Ste 202
San Antonio, TX 78240-1776
Mailing address
9618 Huebner Rd Ste 202
San Antonio, TX 78240-1776
Phone (201) 651-0303
Other names 1
- Heidi Lyn Petersen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9618 Huebner Rd
Suite 202
San Antonio, TX 78240-1776
Phone 2106510303226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT80952 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Center for Medical & Surgical Weight Loss P a | Dietitian, Registered | Current | Accepting new patients |
Locations
9618 Huebner Rd
Ste 202
San Antonio, TX 78240
Phone (210) 651-0303
8811 Village Dr
Ste 300
San Antonio, TX 78217
Phone (210) 651-0303
Organizations & group practices 1
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.
-
- Surgery Physician
- San Antonio, TX
- NPI 1437103587
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1750528766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9618 HUEBNER RD STE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401776",
"telephone_number": "201-651-0303",
"fax_number": "210-651-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9618 HUEBNER RD STE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401776",
"telephone_number": "201-651-0303",
"fax_number": "210-651-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "HEIDI",
"middle_name": "LYN",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "PETERSEN",
"middle_name": "LYN",
"credential": "MS, RD, LD",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 15, 2025; 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.