Rhonda Michelle Baccherini, RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06398 Issued in TX

Practice address

4420 Heritage Trace Pkwy Ste 312
Fort Worth, TX 76244-8904

Phone

(817) 993-6516

Fax

(817) 562-4467

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1043835325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12517 AUTUMN LEAVES TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762441139",
            "telephone_number": "817-705-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 HERITAGE TRACE PKWY STE 312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448904",
            "telephone_number": "817-993-6516",
            "fax_number": "817-562-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHERINI",
        "first_name": "RHONDA",
        "middle_name": "MICHELLE",
        "credential": "RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06398",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT06398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.