Active NPI
Lifeline Nutrition Counseling
- Registered Dietitian
- Frisco, TX
National Provider Identifier
1073384939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LIFELINE NUTRITION COUNSELING
- Practice address
- 5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008 - Phone
- (850) 512-0166
- NPI assigned
- Jan 10, 2024
- 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
- Danielle Carruth, MS,RD,LD
- Title
- Owner
- Phone
- (850) 512-0166
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008
Mailing address
5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008
Phone (850) 512-0166
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1704844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1073384939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 TOWN AND COUNTRY BLVD STE 240",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341008",
"telephone_number": "850-512-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 TOWN AND COUNTRY BLVD STE 240",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341008",
"telephone_number": "850-512-0166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE NUTRITION COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "CARRUTH",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-512-0166",
"authorized_official_credential": "MS,RD,LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
- Life Intensity Counseling Services (Chasing Harmony Recover Center)
- Life Intensity Counseling Services (Chasing Harmony Recovery Program)
- Life Intensity Counseling Services
- Life Intensity Faith Ministries (Chasing Harmony)
- Life Intensity Residential Treatment Center
- Lifespan Psychological Services
- Lifetalk Resource Center
- Lifetime RX LLC (Lifetime Pharmacy)
- Lifetree Pediatrics PLLC
- Lifeway Counseling Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.