Active NPI
Noel Barrilleaux, RDN, LD, CSSD
- Registered Dietitian
- Richardson, TX
National Provider Identifier
1124787783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84495
- Practice address
- 100 N Central Expy Ste 409
Richardson, TX 75080-5311 - Phone
- (214) 838-8237
- NPI assigned
- Dec 10, 2021
- Last updated
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | DT84495 | TX | |
| Registered Dietitian | 133V00000X | DT84495 | TX | Primary |
Addresses
Primary practice location
100 N Central Expy Ste 409
Richardson, TX 75080-5311
Mailing address
2816 Lake Vista Dr
Wylie, TX 75098-6402
Phone (406) 459-1738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT84495 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1124787783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2816 LAKE VISTA DR",
"city": "WYLIE",
"state": "TX",
"postal_code": "750986402",
"telephone_number": "406-459-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N CENTRAL EXPY STE 409",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805311",
"telephone_number": "214-838-8237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRILLEAUX",
"first_name": "NOEL",
"credential": "RDN, LD, CSSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "TX",
"license": "DT84495",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.