Russender Powell, RD, LD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT81929 Issued in TX

Practice address

3809 Wellesley Ave
Frisco, TX 75034-1513

Phone

(214) 403-7428

NPI assigned

Jun 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1093385635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 WELLESLEY AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341513",
            "telephone_number": "214-403-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 WELLESLEY AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341513",
            "telephone_number": "214-403-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "RUSSENDER",
        "credential": "RD, LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT81929",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "TX",
            "license": "DT81929",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Potters Touch Hospitality Group LLC
• Paxton Pounds
• Kyle Zachary Poupart, D.D.S.
• Lisa Powell, PT, ATP
• Lorie Kirsten Powell
• Shenikia Powell
• Tracy Mare Powell, PA-C
• Madelyn Powers
• Arathi Prabhala
• Dharmeshkumar B Prajapati, DPT

• Registered Dietitian in Frisco, TX
• Providers in Frisco, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.