Individual provider Active NPI

Rebecca Diane Spradlin, RD, LD

  • Registered Dietitian
  • Waxahachie, TX
National Provider Identifier
1073477600
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT91000 Issued in TX
Practice address
107 Secretariat St
Waxahachie, TX 75165-7538
Phone
(214) 240-2071
Fax
(214) 240-2071
NPI assigned
Dec 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT91000 TX Primary

Addresses

Primary practice location

107 Secretariat St
Waxahachie, TX 75165-7538

Mailing address

107 Secretariat St
Waxahachie, TX 75165-7538
Phone (214) 240-2071

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

State licenses

LicenseStateTypeSpecialty
DT91000TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1073477600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SECRETARIAT ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657538",
            "telephone_number": "214-240-2071",
            "fax_number": "214-240-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SECRETARIAT ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657538",
            "telephone_number": "214-240-2071",
            "fax_number": "214-240-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "REBECCA",
        "middle_name": "DIANE",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT91000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.