Active NPI
Wise Nutrition Counseling LLC
- Registered Dietitian
- Dallas, TX
National Provider Identifier
1154072189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WISE NUTRITION COUNSELING LLC
- Practice address
- 16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910 - Phone
- (210) 797-6295
- Fax
- (469) 731-4726
- NPI assigned
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Teresa Rivera, MS, RDN
- Title
- Registered Dietitian Nutritionist
- Phone
- (210) 797-6295
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910
Mailing address
5817 Short Springs CT
The Colony, TX 75056-6452
Phone (210) 797-6295
National Provider Directory
National Provider DirectoryPractitioners & 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": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1154072189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5817 SHORT SPRINGS CT",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750566452",
"telephone_number": "210-797-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16980 DALLAS PKWY STE 204",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481910",
"telephone_number": "210-797-6295",
"fax_number": "469-731-4726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISE NUTRITION COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
"authorized_official_telephone_number": "210-797-6295",
"authorized_official_credential": "MS, RDN"
},
"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 Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.