Individual provider Active NPI

Joseph Jamie Ibarra, MCN, RDN, LD

  • Registered Dietitian
  • Denton, TX
National Provider Identifier
1003381286
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86146437 Issued in TX
Practice address
2800 Shoreline Dr Ste 120
Denton, TX 76210-0130
Phone
(909) 636-1340
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 86146437 TX Primary

Addresses

Primary practice location

2800 Shoreline Dr Ste 120
Denton, TX 76210-0130

Mailing address

2528 Marina Dr
Grand Prairie, TX 75054-6851
Phone (909) 636-1340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181109002033 TX Practitioner - Registered Dietitian Or Nutrition Professional 7012261027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Health Assessments, LLCGroup PAC ID 3870755564, 5 clinicians

Practice addresses (Care Compare)

2800 Shoreline Dr
Suite 120
Denton, TX 76210-0130
Phone (940) 383-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86146437TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Assessments LLC Dietitian, Registered CurrentSince Oct 5, 2018 Accepting new patients
Mobile Medical Consultants, PLLC Past Accepting new patients

Locations

2800 Shoreline Dr
Ste 120
Denton, TX 76210
Phone (940) 383-1240

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP
  • TX HMO

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1003381286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 MARINA DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546851",
            "telephone_number": "909-636-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SHORELINE DR STE 120",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100130",
            "telephone_number": "909-636-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "JOSEPH",
        "middle_name": "JAMIE",
        "name_prefix": "Mr.",
        "credential": "MCN, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86146437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.