Active NPI
Wellness Inspired Inc
Doing business as Dallas Dietitian Nutritionist
- Registered Dietitian
- McKinney, TX
National Provider Identifier
1073191748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WELLNESS INSPIRED INC
- Doing business as
- Dallas Dietitian Nutritionist
- Practice address
- 3208 Mile High LN
McKinney, TX 75070-2699 - Phone
- (469) 333-2378
- NPI assigned
- Apr 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatima Tai
- Title
- Owner
- Phone
- (832) 465-5524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3208 Mile High LN
McKinney, TX 75070-2699
Mailing address
3208 Mile High LN
McKinney, TX 75070-2699
Phone (469) 333-2378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT85638 | Other | TX | STATE LICENSE |
Other names 1
- Dallas Dietitian Nutritionist
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631836800000",
"number": "1073191748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 MILE HIGH LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702699",
"telephone_number": "469-333-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 MILE HIGH LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702699",
"telephone_number": "469-333-2378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS INSPIRED INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-01",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A",
"authorized_official_last_name": "TAI",
"authorized_official_first_name": "FATIMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-465-5524"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DT85638",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dallas Dietitian Nutritionist",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dallas Dietitian Nutritionist",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.