Active NPI
Beverly M Reese, CDE,RD
- Registered Dietitian
- Corpus Christi, TX
National Provider Identifier
1073619771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT02115
- Practice address
- 5283 Old Brownsville Rd
Corpus Christi, TX 78405-3908 - Phone
- (361) 806-5622
- Fax
- (361) 806-5601
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT02115 | TX | Primary |
Addresses
Primary practice location
5283 Old Brownsville Rd
Corpus Christi, TX 78405-3908
Mailing address
1310 E Cherrystone Dr
Corpus Christi, TX 78412-4104
Phone (361) 563-5441
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT02115 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073619771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 E CHERRYSTONE DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784124104",
"telephone_number": "361-563-5441",
"fax_number": "361-992-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5283 OLD BROWNSVILLE RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784053908",
"telephone_number": "361-806-5622",
"fax_number": "361-806-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "BEVERLY",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "CDE,RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT02115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.