Larry Cleveland, RD, LD, LMT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

847306 Issued in TX

Practice address

2430 S I-35 E Ste 128
Denton, TX 76205-4943

Phone

(972) 824-5011

NPI assigned

Jan 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Impel Management Services, LLC

  • Registered Dietitian
  • Carrollton, TX
  • NPI 1023065174

  Dietitian, Registered

  NPD (past)
• Impel Management Services, LLC

  • Diagnostic Ultrasound Physician
  • Hurst, TX
  • NPI 1093752891
  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1104064138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 S I-35 E STE 128",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054943",
            "telephone_number": "972-824-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 S I-35 E STE 128",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054943",
            "telephone_number": "972-824-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "LARRY",
        "credential": "RD, LD, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06352",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "847306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Counseling Services PLLC
• Rosann Clay, PT
• Clear Path Home Care
• Clearsky MRI & Diagnostic at Denton
• Kayla Clem, PT, DPT, ATP
• Clinica HF Denton LLC
• Brandi J Clokey, FNP-C
• Clover Systems LLC
• Christen Elizabeth Clower, PH.D
• Nicholas Edward Cobb, D.D.S.

• Registered Dietitian in Denton, TX
• Providers in Denton, 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 28, 2010; 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.