Individual provider Active NPI

Jessica Lauren Hernandez, RD,LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1821661836
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84646 Issued in TX
Practice address
646 S Flores St
San Antonio, TX 78204-1219
Phone
(855) 803-9355
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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 DT84646 TX Primary

Addresses

Primary practice location

646 S Flores St
San Antonio, TX 78204-1219

Mailing address

646 S Flores St
San Antonio, TX 78204-1219
Phone (855) 039-3558

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Houston Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922002403 TX Practitioner - Registered Dietitian Or Nutrition Professional 4688071350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
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

Practice addresses (Care Compare)

20311 Champion Forest Dr
Suite E510
Spring, TX 77379-8693
Phone (855) 803-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT84646TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B Wellness Services Inc Dietitian, Registered CurrentSince Feb 13, 2024 Accepting new patients
H-E-B, LP Dietitian, Registered CurrentSince Aug 1, 2021 Accepting new patients
H-E-B, LP CurrentSince Aug 1, 2021 Accepting new patients
H-E-B, LP Past Accepting new patients

Locations

1701 W Alabama St
Houston, TX 77098
Phone (713) 522-3200

9710 Katy Fwy
Houston, TX 77055
Phone (713) 647-5950

10919 Louetta Rd
Ste E500
Houston, TX 77070

10919 Louetta Rd
Houston, TX 77070
Phone (281) 251-1800

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

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

20311 Champion Forest Dr
Ste E510
Spring, TX 77379

Interoperability endpoints

  • Direct secure messaging: jessica.hernandez.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1821661836",
    "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": "855-039-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219",
            "telephone_number": "855-803-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HEB EHR",
            "address_1": "9003 Ensemble Ct",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770402478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 25, 2022; 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.