Individual provider Active NPI

Lori Beth Bryant, RD, LD, CPT

  • Registered Dietitian
  • Irving, TX
National Provider Identifier
1013056274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT05802 Issued in TX
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

Updated by the provider on Jul 8, 2007

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 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

LicenseStateTypeSpecialty
DT05802TXMDRegistered 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.

Verify at the official NPI Registry.