Individual provider Active NPI

Aida L Moreno-Brown, RD

  • Registered Dietitian
  • El Paso, TX
National Provider Identifier
1003118472
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT80594 Issued in TX
Practice address
6611 Boeing Dr
El Paso, TX 79925-1010
Phone
(915) 780-6576
Fax
(915) 780-5303
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT80594 TX Primary

Addresses

Primary practice location

6611 Boeing Dr
El Paso, TX 79925-1010

Mailing address

6611 Boeing Dr
El Paso, TX 79925-1010
Phone (915) 780-6576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT80594TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Region 19 Education Service Center PastSince Jul 7, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1003118472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 BOEING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251010",
            "telephone_number": "915-780-6576",
            "fax_number": "915-780-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 BOEING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251010",
            "telephone_number": "915-780-6576",
            "fax_number": "915-780-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO-BROWN",
        "first_name": "AIDA",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.