Active NPI
Lori Beth Bryant, RD, LD, CPT
- Registered Dietitian
- Irving, TX
National Provider Identifier
1013056274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT05802
- Practice address
- 4324 N Belt Line Rd
Suite C204
Irving, TX 75038-3501 - Phone
- (214) 596-9302
- Fax
- (214) 596-9315
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT05802 | TX | Primary |
Addresses
Primary practice location
4324 N Belt Line Rd
Suite C204
Irving, TX 75038-3501
Mailing address
2408 Shasta LN
Flower Mound, TX 75028-7179
Phone (972) 874-3632
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT05802 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013056274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 SHASTA LN",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750287179",
"telephone_number": "972-874-3632",
"fax_number": "214-596-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4324 N BELT LINE RD",
"address_2": "SUITE C204",
"city": "IRVING",
"state": "TX",
"postal_code": "750383501",
"telephone_number": "214-596-9302",
"fax_number": "214-596-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "LORI",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "RD, LD, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT05802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.