Individual provider Active NPI

Priscila Ruiz Rivera, MS, RD, LD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1104574938
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT88362 Issued in TX
Practice address
2911 Medical Arts St Ste 9
Austin, TX 78705-3302
Phone
(512) 522-7793
Fax
(818) 484-2316
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT88362 TX Primary

Addresses

Primary practice location

2911 Medical Arts St Ste 9
Austin, TX 78705-3302

Mailing address

2911 Medical Arts St Ste 9
Austin, TX 78705-3302
Phone (512) 522-7793

Other practice location 1

14101 W Hwy 290 BUILDING 1100 SUITE 100
Austin, TX 78737-9394
Phone (512) 522-7793

Other practice location 2

3432 Greystone Dr Ste 120
Austin, TX 78731-2371
Phone (512) 522-7793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821004127 TX Practitioner - Registered Dietitian Or Nutrition Professional 9133629488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14101 W Hwy 290
Suite 1600B
Austin, TX 78737-9394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Tina Laboy Nutrition Therapy LLC Dietitian, Registered CurrentSince Jul 15, 2025 Accepting new patients

Locations

2911 Medical Arts St
Ste 9
Austin, TX 78705
Phone (512) 474-6321

3432 Greystone Dr
Ste 120
Austin, TX 78731
Phone (512) 522-7793

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1104574938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-522-7793",
            "fax_number": "818-484-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-522-7793",
            "fax_number": "818-484-2316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14101 W Hwy 290 BUILDING 1100 SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787379394",
            "country_code": "US",
            "telephone_number": "512-522-7793",
            "fax_number": "818-484-2316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3432 Greystone Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787312371",
            "country_code": "US",
            "telephone_number": "512-522-7793",
            "fax_number": "818-484-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ RIVERA",
        "first_name": "PRISCILA",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT88362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.