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Active NPI 1285048272 Individual Practitioner Female Practitioner

Jacqueline Ayoub

Dietitian, Registered • Austin, TX

Professional Overview & Biography Verified Profile Summary

Jacqueline Ayoub is a registered healthcare professional specializing in Dietitian, Registered in Austin, TX. Practice services are available at 4301 BURNET RD STE A under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure reassessment for nutrition management, each, medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4301 Burnet Rd Ste A

Austin, TX 787563317

Telephone 5129800590
Fax 5125985306
Associated Practice Facility / Clinic
🏢 Mindful Fork Nutrition Llc Facility NPI 1366069338

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
1050 Specialists

Practicing in Austin, TX (5148 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
82 15 $47.20 $25.58
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
76 19 $48.75 $29.51

Medical Specialties & State Licenses

CMS Verified: 2020-06-27
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT82549

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License TX DT8259

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ld License
DT82549 (TX)

Secondary Practice Locations

5900 Balcones Dr Ste 165

Austin, TX 787314293

Phone: 5123384500

1602 Edgewood Ave

Austin, TX 78722

Phone: 5129800590

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 27, 2020

Registered at 4301 BURNET RD STE A, AUSTIN, TX 787563317 (Tel: 5129800590)

📍
Updated Business Mailing Address June 27, 2020

Registered at 1602 EDGEWOOD AVE, AUSTIN, TX 78722 (Tel: 5129800590)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2020

Dietitian, Registered

📍
Updated Practice Location June 27, 2018

Registered at 13355 N HWY 183, APT 620, AUSTIN, TX 78750 (Tel: 8327971900)

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 13355 N HWY 183, APT 620, AUSTIN, TX 787507156 (Tel: 8327971900)

📍
Updated Business Mailing Address June 17, 2014

Registered at 13355 N HWY 183, APT 620, AUSTIN, TX 787507156

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as JACQUELINE AYOUB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Dietitian, Registered (License #DT82549 in TX)

🟢
Initial NPI Registration & Enumeration June 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285048272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2014
Last Update: June 27, 2020
Sole Proprietor: No

Mailing Address

1602 Edgewood Ave

Austin, TX 78722

Phone: 5129800590

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.