Tayde Marie Cook, RDN, LD, CPT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86153083 Issued in TX

Practice address

2803 E Griffin Pkwy
Mission, TX 78572-3482

Phone

(956) 627-4003

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metamorf Nutrition LLC

  • Registered Dietitian
  • Mission, TX
  • NPI 1407542913
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1093415366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723482",
            "telephone_number": "956-627-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723482",
            "telephone_number": "956-627-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TAYDE",
        "middle_name": "MARIE",
        "credential": "RDN, LD, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86153083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COUNCIL OF EXERCISE",
            "identifier": "N923413",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Roel Contreras, MD
• Lourdes Contreras, SOCIAL WORKER
• Omar Contreras, RN
• Raquel Contreras
• Timothy Patrick Conway, OTA/L
• Robert Joseph Cooper II, LCSW
• Corazon Con Corazon Adult Day Care, LLC
• Corazon Consulting,Inc.
• Enrique Cordero
• Rosio Coria-Garcia, ABA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.