Active NPI
Christine A Clifford, R.D., L.D.
- Registered Dietitian
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT04323
- Practice address
- 3840 Hulen St
HTN, Client Accounting
Fort Worth, TX 76107-7277 - Phone
- (817) 569-4395
- Fax
- (817) 569-4517
- NPI assigned
- Feb 15, 2007
- 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 | DT04323 | TX | Primary |
Addresses
Primary practice location
3840 Hulen St
HTN, Client Accounting
Fort Worth, TX 76107-7277
Mailing address
3840 Hulen St
HTN, Client Accounting
Fort Worth, TX 76107-7277
Phone (817) 569-4395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945401 | Medicaid | TX | |
| 8J3513 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK, SD
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 S Minnesota Ave
Sioux Falls, SD 57105-5647
Phone (515) 695-3121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT04323 | TX | MD | Registered Dietitian |
| 1082 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Health PC | Current | Accepting new patients | |
| American Health Assessments LLC | Dietitian, Registered | Current | Accepting new patients |
| Hy-Vee Health PC | Current | Accepting new patients | |
| Hy-Vee Health PC | Past | Accepting new patients | |
| Hy-Vee Health PC | Dietitian, Registered | Past | Accepting new patients |
| My Health My Resources of Tarrant County | Past | Accepting new patients | |
| Hy-Vee Health PC | Dietitian, Registered | Past | Accepting new patients |
| Mobile Medical Consultants, PLLC | Past | Accepting new patients |
Locations
5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784
3030 N West Expy
Ste 200B
Oklahoma City, OK 73112
Phone (309) 665-0206
3000 S Minnesota Ave
Sioux Falls, SD 57105
Phone (605) 332-1502
1320 9th Ave SE
Watertown, SD 57201
Phone (605) 882-3311
2800 Shoreline Dr
Ste 120
Denton, TX 76210
Phone (940) 383-1240
3840 Hulen St
Ste 205
Fort Worth, TX 76107
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1588419881
-
- Registered Dietitian
- Denton, TX
- NPI 1497027098
Dietitian, Registered, OK
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1184498990
-
- General Practice Physician
- Dallas, TX
- NPI 1346839859
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Worth, TX
- NPI 1376590422
-
- Internal Medicine Physician
- West Des Moines, IA
- NPI 1558086637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1154464279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"address_2": "HTN, CLIENT ACCOUNTING",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-569-4395",
"fax_number": "817-569-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"address_2": "HTN, CLIENT ACCOUNTING",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-569-4395",
"fax_number": "817-569-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "CHRISTINE",
"middle_name": "A",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT04323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8J3513",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.