Active NPI
Brenda J Patek, RDN
- Registered Dietitian
- Leander, TX
National Provider Identifier
1043790819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81591
- Practice address
- 2424 Lauren Loop
Leander, TX 78641-7865 - Phone
- (651) 707-6186
- NPI assigned
- Aug 20, 2018
- 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 | DT81591 | TX | Primary |
Addresses
Primary practice location
2424 Lauren Loop
Leander, TX 78641-7865
Mailing address
2424 Lauren Loop
Leander, TX 78641-7865
Phone (651) 707-6186
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1043790819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 LAUREN LOOP",
"city": "LEANDER",
"state": "TX",
"postal_code": "786417865",
"telephone_number": "651-707-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 LAUREN LOOP",
"city": "LEANDER",
"state": "TX",
"postal_code": "786417865",
"telephone_number": "651-707-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEK",
"first_name": "BRENDA",
"middle_name": "J",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.