NPIMap

Organization Active NPI

Redeeming Wellness LLC

  • Nutritionist
  • Dallas, TX
National Provider Identifier
1124576509
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
00001486 Issued in WA
Legal business name
REDEEMING WELLNESS LLC
Practice address
5002 Horseshoe TRL
Dallas, TX 75209-3324
Phone
(214) 360-0600
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Mrs. Leslie P Bumpas, NTPNPI 1538749783
Title
Owner
Phone
(214) 360-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X 00001486 WA Primary

Addresses

Primary practice location

5002 Horseshoe TRL
Dallas, TX 75209-3324

Mailing address

5002 Horseshoe TRL
Dallas, TX 75209-3324
Phone (214) 360-0600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1124576509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 HORSESHOE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093324",
            "telephone_number": "214-360-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 HORSESHOE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093324",
            "telephone_number": "214-360-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMING WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "BUMPAS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-360-0600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NTP"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "00001486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.