NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) – Registered Dietitian, NPI 1184123523

Registered Dietitian

NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) is a healthcare provider. based in San antonio, Texas. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RDN, LD, IFNCP. They hold a License No. 86074091 (TX). The NPI Number for NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) is 1184123523

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP)

NPI

1184123523

Phone

(910) 691-1772

Address

6731 SPRING HURST ST

Enumeration Date

11 February 2018

Last Update Date

14 August 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

21054544224

Graduation Year

2016 (10 years ago)

PAC ID

8022462571

Group Practice PAC ID

9234209990

Professional Enrollment ID

I20231002002893

Address ID

TX782481827SA1870XRDXX403

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:8State licenses:2Digital endpointsOther names

529 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in TX

Provider Addresses for NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP)

6731, Spring Hurst Street, Babcock Place, San Antonio, Bexar County, Texas, 78249, United States
SAN ANTONIO, TX 782492919
Phone: (910) 691-1772
Type: Mailing
3323 SCENIC LN
SAN ANTONIO, TX 782303454
Phone: (102) 708-8931
Type: Mailing
1870 W BITTERS RD STE 101
SAN ANTONIO, TX 782481827
Phone: (210) 545-4422
Type: Location
9910 HUEBNER RD STE 250
SAN ANTONIO, TX 782401375
Phone: (210) 615-8500
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20231002002893	I	Registered Dietitian Or Nutrition Professional	TX	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78249)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9234209990View full group profile

Name	Specialty	State
JULIE WILLIAMS POIDEVIN (MS, RDN, LD)	-	TX
RACHEL BLAND (RD, LD)	Registered Dietitian Or Nutrition Professional	TX
JAMES OLIVER (RD)	Registered Dietitian Or Nutrition Professional	TX
NOUR ELHOUDA AMIN (RDN, LD)	Registered Dietitian Or Nutrition Professional	TX
CRISTINE DIANE SAKS	Registered Dietitian Or Nutrition Professional	TX
KELSIE GEE RAIGN (MS, RD, LD)	Registered Dietitian Or Nutrition Professional	TX
MRS. JAN L TILLEY (RD, LD)	-	TX
ALEXANDRA NICOLE HAJEK (MS, RD, LD)	Registered Dietitian Or Nutrition Professional	TX
KATHLEEN BENSON (RD, CSSD, LD, CPT)	Registered Dietitian Or Nutrition Professional	TX
CHELSEA MARQUEZ	Registered Dietitian Or Nutrition Professional	TX

Reviews

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Frequently asked questions

How do I look up NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) by NPI?

Use NPI 1184123523 when you need to reference NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) in forms, claims, or directories.

Does this profile mean NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) is currently active?

Yes — NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) appears active in the national provider directory.

What does NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) treat or focus on?

Patients typically see NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) under the specialty Registered Dietitian. Clinical services aligned with this taxonomy classification.

What location shows for NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP)?

We surface San Antonio, Texas for NICOLE ALLENIA HARRIS (MS, RDN, LD, IFNCP) based on available NPPES addresses.

What if San Antonio, Texas seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.