Active NPI
Fatima Tai, RDN
- Registered Dietitian
- McKinney, TX
National Provider Identifier
1013501352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86031827
- Practice address
- 5100 Geranium CT
McKinney, TX 75070-4689 - Phone
- (832) 465-5524
- NPI assigned
- Feb 26, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | TX | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Registered Dietitian | 133V00000X | 86031827 | TX | Primary |
Addresses
Primary practice location
5100 Geranium CT
McKinney, TX 75070-4689
Mailing address
5100 Geranium CT
McKinney, TX 75070-4689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210607001330 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 8224438635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86031827 | TX | MD | Registered Dietitian |
Networks
- TX HMO
- TX HMO D-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1013501352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 GERANIUM CT",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750704689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 GERANIUM CT",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750704689",
"telephone_number": "832-465-5524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAI",
"first_name": "FATIMA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-26",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "86031827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.