Active NPI
Chasley Tess Fortune, RD
- Registered Dietitian
- San Antonio, TX
National Provider Identifier
1841812443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86174251
- Practice address
- 9618 Huebner Rd
San Antonio, TX 78240-1660 - Phone
- (210) 634-2200
- Fax
- (210) 634-2201
- NPI assigned
- May 18, 2020
- 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 | 86174251 | TX | Primary |
Addresses
Primary practice location
9618 Huebner Rd
San Antonio, TX 78240-1660
Mailing address
9734 Alisa Brooke
San Antonio, TX 78254-6100
Phone (210) 838-0420
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cfortune@bccsanantonio.com | Bariatric Counseling Center of San Antonio, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86174251 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1841812443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9734 ALISA BROOKE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782546100",
"telephone_number": "210-838-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9618 HUEBNER RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401660",
"telephone_number": "210-634-2200",
"fax_number": "210-634-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNE",
"first_name": "CHASLEY",
"middle_name": "TESS",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2023-11-27",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "86174251",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cfortune@bccsanantonio.com",
"affiliation": "Y",
"affiliationName": "Bariatric Counseling Center of San Antonio, LLC",
"address_1": "9618 Huebner Rd",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782401660",
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.