Individual provider Active NPI

Jerrica Ali Garza, RDN, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1821796137
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86293960 Issued in TX
Practice address
1870 W Bitters Rd
San Antonio, TX 78248-1826
Phone
(210) 545-4422
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 86293960 TX Primary

Addresses

Primary practice location

1870 W Bitters Rd
San Antonio, TX 78248-1826

Mailing address

PO Box 460316
San Antonio, TX 78246-0316
Phone (210) 219-0144

Other practice location 1

609 Strings Dr
San Antonio, TX 78216-2612
Phone (210) 219-0144

Other practice location 2

112 Aribe Dr
San Antonio, TX 78216-7601
Phone (210) 219-0144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702001738 TX Practitioner - Registered Dietitian Or Nutrition Professional 1850804865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jan Tilley and AssociatesGroup PAC ID 9234209990, 11 clinicians

Practice addresses (Care Compare)

1870 W Bitters Rd
Suite 101
San Antonio, TX 78248-1827
Phone 21054544224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86293960TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Tilley & Associates Dietitian, Registered CurrentSince May 16, 2025 Accepting new patients

Locations

1870 W Bitters Rd
Ste 101
San Antonio, TX 78248
Phone (210) 545-4422

1870 W Bitters Rd
San Antonio, TX 78248
Phone (210) 545-4422

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, 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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1821796137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782460316",
            "telephone_number": "210-219-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W BITTERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481826",
            "telephone_number": "210-545-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Strings Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782162612",
            "country_code": "US",
            "telephone_number": "210-219-0144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Aribe Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782167601",
            "country_code": "US",
            "telephone_number": "210-219-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "JERRICA",
        "middle_name": "ALI",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86293960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 16, 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.