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Stacie Haller is one of 23 dietitians and nutrition professionals practicing in San Antonio, Texas .
Stacie Haller practices with Diabetes And Glandular Disease Clinic PA.
Registry record (NPPES)
NPI
1528176526
Type
Type 1 · Individual
Primary taxonomy
Dietitian, Registered · 133V00000X
Address on file
5107 Medical Drive San Antonio, TX 78229 (210) 614-8612
Enumerated
Aug 29, 2006
Record last updated
Sep 3, 2015
Medicare (CMS)
Enrollment
Medicare-enrolled in TXRegistered Dietitian or Nutrition Professional
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Heidi Lyn Jensen, MS, RD, LD
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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