Individual provider Active NPI

Alexandra Alyse Wimmerstedt

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1972247096
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86075428
Practice address
H-E-B, LP 8801 S Congress Ave
Austin, TX 78745-7389
Phone
(618) 974-1443
NPI assigned
Apr 25, 2022
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 86075428 Primary

Addresses

Primary practice location

H-E-B, LP 8801 S Congress Ave
Austin, TX 78745-7389

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207001502 TX Practitioner - Registered Dietitian Or Nutrition Professional 4880063213 Reassigns benefits to 2 organizations

Care Compare profile

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

Practice addresses (Care Compare)

8801 S Congress Ave
Austin, TX 78745-7389
Phone (855) 803-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B Wellness Services Inc Dietitian, Registered CurrentSince Jan 19, 2024 Accepting new patients
H-E-B, LP Dietitian, Registered CurrentSince Aug 30, 2022 Accepting new patients
H-E-B, LP CurrentSince Aug 30, 2022 Accepting new patients

Locations

8801 S Congress Ave
Austin, TX 78745
Phone (512) 292-8662

9746 Katy Fwy
Ste 100
Houston, TX 77055

9746 Katy Fwy
Ste 1000
Houston, TX 77055

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30127/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alexandra.wimmerstedt.2@30127.direct.athenahealth.com

Organizations & group practices 3

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1972247096",
    "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": "H-E-B, LP 8801 S CONGRESS AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457389",
            "telephone_number": "618-974-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMERSTEDT",
        "first_name": "ALEXANDRA",
        "middle_name": "ALYSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86075428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, 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.