NPIMap

Organization Active NPI

Impel Management Services, LLC

  • Registered Dietitian
  • Carrollton, TX
National Provider Identifier
1023065174
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
IMPEL MANAGEMENT SERVICES, LLC
Practice address
1735 Keller Springs Rd
Suite 100
Carrollton, TX 75006-2962
Phone
(817) 849-8296
Fax
(817) 514-5246
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Pamela Kinney Grayson, M.B.A.
Title
Administrative Assistant
Phone
(817) 514-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1735 Keller Springs Rd
Suite 100
Carrollton, TX 75006-2962

Mailing address

9003 Airport Fwy
Suite 300
North Richland Hills, TX 76180-7770
Phone (817) 849-8296

Other names 1

  • Great Outcomes Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1023065174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 AIRPORT FWY",
            "address_2": "SUITE 300",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807770",
            "telephone_number": "817-849-8296",
            "fax_number": "817-514-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 KELLER SPRINGS RD",
            "address_2": "SUITE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062962",
            "telephone_number": "817-849-8296",
            "fax_number": "817-514-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPEL MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KINNEY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "817-514-5258",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Outcomes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.