Heather Di Stefano, MS, RD, CSG

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80524 Issued in TX

Practice address

2911 Medlin Dr
Arlington, TX 76015-2330

Phone

(682) 564-2381

Fax

(817) 476-6133

NPI assigned

Oct 8, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heather Cline Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Practical Nutrition LLCGroup PAC ID 6406181395, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Practical Nutrition LLC

  • Registered Dietitian
  • Arlington, TX
  • NPI 1972077519

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1003067075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 STATE HIGHWAY 34 S",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754025128",
            "telephone_number": "682-999-5835",
            "fax_number": "817-476-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDLIN DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152330",
            "telephone_number": "682-564-2381",
            "fax_number": "817-476-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 NE Green Oaks Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760063289",
            "country_code": "US",
            "telephone_number": "682-564-2381",
            "fax_number": "817-476-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI STEFANO",
        "first_name": "HEATHER",
        "credential": "MS, RD, CSG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "951447",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS",
            "identifier": "DT80524",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jayant Dholaria, PHARM.D
• Alfred Di Stefano, MD
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• Dia-ZZZ-Ly Adult Day Care
• Diabetes America LLC
• Diabetic Footwear & Supplies Incorporated
• Diagnostic Health Centers of Texas Limited Partnership

• Registered Dietitian in Arlington, TX
• Providers in Arlington, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.