Active NPI
Sandra Reyes Lopez, REGISTERED DIETICIAN
- Registered Dietitian
- Raymondville, TX
National Provider Identifier
1134437775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 131 FM 3168
Raymondville, TX 78580-3605 - Phone
- (956) 689-2196
- Fax
- (956) 689-5937
- NPI assigned
- Sep 16, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
131 FM 3168
Raymondville, TX 78580-3605
Mailing address
1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 956241 | Other | LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1134437775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 TREASURE HILLS BLVD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508911",
"telephone_number": "956-365-6750",
"fax_number": "956-365-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 FM 3168",
"city": "RAYMONDVILLE",
"state": "TX",
"postal_code": "785803605",
"telephone_number": "956-689-2196",
"fax_number": "956-689-5937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SANDRA",
"middle_name": "REYES",
"credential": "REGISTERED DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "956241",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Raymondville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.