Individual provider Active NPI

Destiny Rae Holmes, MS,RDN,LD, CDCES

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1801546882
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT86633 Issued in TX
Practice address
17238 Bulverde Rd
San Antonio, TX 78247-2401
Phone
(855) 481-1149
NPI assigned
Mar 24, 2022
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 DT86633 TX Primary

Addresses

Primary practice location

17238 Bulverde Rd
San Antonio, TX 78247-2401

Mailing address

646 S Flores St
San Antonio, TX 78204-1219
Phone (855) 481-1149

Other practice location 1

7951 Dueling Oak
San Antonio, TX 78254-1750
Phone (210) 467-2985

Other names 1

  • Destiny Rae Matthews Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220616002866 TX Practitioner - Registered Dietitian Or Nutrition Professional 5799164034 Reassigns benefits to 2 organizations
I20260406003732 CA Practitioner - Registered Dietitian Or Nutrition Professional 5799164034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H-E-B Wellness Services IncGroup PAC ID 7214392729, 16 clinicians
Diabetes Digital CorpGroup PAC ID 1557722055, 7 clinicians

Practice addresses (Care Compare)

17238 Bulverde Rd
San Antonio, TX 78247-2401
Phone (855) 803-9355

4048 Clarewood Way
Sacramento, CA 95835-2015
Phone (844) 572-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Dietitian, Registered CurrentSince Mar 10, 2022 Accepting new patients
H-E-B Wellness Services Inc Dietitian, Registered CurrentSince Mar 1, 2024 Accepting new patients
H-E-B, LP CurrentSince Mar 10, 2022 Accepting new patients

Locations

925 10th St
Floresville, TX 78114
Phone (830) 393-8098

17238 Bulverde Rd
San Antonio, TX 78247
Phone (210) 495-0572

17238 Bulverde Rd
Ste 500
San Antonio, TX 78247

646 S Flores St
San Antonio, TX 78204
Phone (210) 938-3182

735 SW Military Dr
San Antonio, TX 78221
Phone (210) 927-6875

Interoperability endpoints

  • Direct secure messaging: destiny.mathews.1@30127.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/30127/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1801546882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219",
            "telephone_number": "855-481-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17238 BULVERDE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472401",
            "telephone_number": "855-481-1149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7951 Dueling Oak",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782541750",
            "country_code": "US",
            "telephone_number": "210-467-2985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DESTINY",
        "middle_name": "RAE",
        "credential": "MS,RDN,LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "MATTHEWS",
            "middle_name": "RAE",
            "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 Jun 30, 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.