Carmalita Green, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT87482 Issued in TX

Practice address

1400 8TH Ave
Ft Worth, TX 76104-4110

Phone

(817) 922-2034

NPI assigned

Oct 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1134900327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7569 KINGS TRL",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761338347",
            "telephone_number": "225-802-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-922-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CARMALITA",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Gayle Green
• Alexandra C Green, DO
• Andrea Denise Green
• Arthur C. Green, M.D.
• Breanna Green
• Carrington Green
• Casey Green, MD
• Debra Green, CRNA
• Imani Monique Green
• John Green, RNFA

• 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 Oct 12, 2023; 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.