Individual provider Active NPI

Heidi Lyn Jensen, MS, RD, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1750528766
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT80952 Issued in TX
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

Updated by the provider on Dec 15, 2025

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000836 TX Practitioner - Registered Dietitian Or Nutrition Professional 2668596586 Reassigns benefits to 1 organization

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
Texas Center for Medical and Surgical Weight Loss P aGroup PAC ID 7517990120, 11 clinicians

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

LicenseStateTypeSpecialty
DT80952TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Center for Medical & Surgical Weight Loss P a Dietitian, Registered CurrentSince Jan 13, 2014 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.

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.

Verify at the official NPI Registry.