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MY NUTRITION STUDIO
NPI 1124477583
Dietitian, Registered in San Antonio, TX

Active since June 07, 2016
4940 BROADWAY ST, STE 118, SAN ANTONIO, TX 78209(210) 320-0979(866) 533-2028 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About My Nutrition Studio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY NUTRITION STUDIO (NPI 1124477583) is a healthcare organization registered as a dietitian, registered in San Antonio, Texas and active in the NPI registry since June 2016. The organization lists Jennifer L Hagendorf, Registered Dietitian Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1124477583
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameMY NUTRITION STUDIO
Location Address4940 BROADWAY ST, STE 118San Antonio, TX 78209-5747
Mailing Address305 E Magnolia AveSan Antonio, TX 78212-3010 · (210) 320-0979 · Fax (866) 533-2028
Phone(210) 320-0979
Fax(866) 533-2028
Organization SubpartNo
Authorized OfficialJennifer L HagendorfRegistered Dietitian Nutritionist · (210) 320-0979
Enumeration DateJune 7, 2016
✔ NPI 1124477583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT80988
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4940 BROADWAY ST, San Antonio, TX 78209
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLEY FROST PHD, LPC-S
Counselor (Professional)
4940 BROADWAY ST, SUITE 302
SAN ANTONIO, TX 78209
Bexar County (210) 386-0014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Nutrition Studio's NPI number?

The NPI number for My Nutrition Studio is 1124477583. It was assigned to this organization in the NPPES registry on June 7, 2016.

Where is My Nutrition Studio located?

My Nutrition Studio is located at 4940 Broadway St Ste 118, San Antonio, TX 78209. The listed phone number is (210) 320-0979.

What is My Nutrition Studio's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for My Nutrition Studio was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.