Active NPI
Betty Ann Murray, MS, CN, IFMCP
- Nutritionist
- Dallas, TX
National Provider Identifier
1063719011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 0011041
- Practice address
- 17000 Preston Rd Ste 400
Dallas, TX 75248-1201 - Phone
- (972) 930-0260
- Fax
- (972) 559-3648
- NPI assigned
- Feb 26, 2011
- Last updated
- Sep 22, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 0011041 | NU | Primary |
Addresses
Primary practice location
17000 Preston Rd Ste 400
Dallas, TX 75248-1201
Mailing address
17000 Preston Rd Ste 400
Dallas, TX 75248-1201
Phone (972) 930-0260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001141 | Other | AMERICAN HEALTH SCIENCES UNNIVERSITY - CERTIFIED NUTRITIONIST |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Dallas, Inc. | Nutritionist | Current | Accepting new patients |
Locations
14330 Midway Rd
Ste 121
Dallas, TX 75244
Phone (972) 930-0260
17000 Preston Rd
Ste 400
Dallas, TX 75248
Phone (972) 930-0260
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569110400000",
"number": "1063719011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 PRESTON RD STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481201",
"telephone_number": "972-930-0260",
"fax_number": "972-559-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 PRESTON RD STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481201",
"telephone_number": "972-930-0260",
"fax_number": "972-559-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "BETTY",
"middle_name": "ANN",
"credential": "MS, CN, IFMCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-26",
"last_updated": "2019-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": "0011041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH SCIENCES UNNIVERSITY - CERTIFIED NUTRITIONIST",
"identifier": "001141",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.