Allie Jo Taschuk, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT84664 Issued in TX

Practice address

2201 SE Loop 820 RM 2N-121
Fort Worth, TX 76119-5863

Phone

(817) 730-0028

NPI assigned

Sep 13, 2017

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124547955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SE LOOP 820 RM 2N-121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195863",
            "telephone_number": "817-730-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SE LOOP 820 RM 2N-121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195863",
            "telephone_number": "817-730-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCHUK",
        "first_name": "ALLIE",
        "middle_name": "JO",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "DT84664",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION (CDR)",
            "identifier": "86054371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.