Organization Active NPI

Eating Coach, LLC

  • Registered Dietitian
  • Grapevine, TX
National Provider Identifier
1124690953
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EATING COACH, LLC
Practice address
603 S Main St Ste 205
Grapevine, TX 76051-5390
Phone
(817) 513-0656
Fax
(817) 764-7400
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Authorized official

Name
Robert McCall
Title
Administrator
Phone
(817) 513-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

603 S Main St Ste 205
Grapevine, TX 76051-5390

Mailing address

603 S Main St Ste 205
Grapevine, TX 76051-5390
Phone (817) 513-0656

National Provider Directory

National Provider Directory

Locations

603 S Main St
Ste 205
Grapevine, TX 76051
Phone (817) 513-0656

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": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627171200000",
    "number": "1124690953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S MAIN ST STE 205",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515390",
            "telephone_number": "817-513-0656",
            "fax_number": "817-764-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S MAIN ST STE 205",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515390",
            "telephone_number": "817-513-0656",
            "fax_number": "817-764-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING COACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-513-1040"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.