Back2Basics Functional Nutrition

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

BACK2BASICS FUNCTIONAL NUTRITION

Practice address

3365 Regent Blvd Ste 130
Irving, TX 75063-3127

Phone

(972) 514-7956

Fax

(972) 366-7946

NPI assigned

Mar 12, 2026

Organization subpart

No

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

Authorized official

Name

Niti ShahNPI 1144818634

Title

Owner

Phone

(214) 454-2278

Specialties & licenses 1

Addresses

Other names 1

• Back2Basics by Niti Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niti Shah

  • Nutritionist
  • Irving, TX
  • NPI 1144818634
  NPD Authorized official

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1093662645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633127",
            "telephone_number": "972-514-7956",
            "fax_number": "972-366-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633127",
            "telephone_number": "972-514-7956",
            "fax_number": "972-366-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK2BASICS FUNCTIONAL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NITI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-454-2278"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back2Basics by Niti",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Baars, M.A.
• Hawelan Baban
• Ashley Marie Babineaux
• Afshan Bachlani, RD LD
• Kristen Diane Bachus, PA-C
• Jacqueline Mary Baclawski, LCSW
• Jiala Baclay
• Jason T Bacon, DDS
• Mark Bacot
• Susan Bae, MSPT

• Nutritionist in Irving, TX
• Providers in Irving, TX by specialty
• Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.