Individual provider Active NPI

Christine A Clifford, R.D., L.D.

  • Registered Dietitian
  • Fort Worth, TX
National Provider Identifier
1154464279
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT04323 Issued in TX
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

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004945401MedicaidTX
8J3513OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, SD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141002002119 TX Practitioner - Registered Dietitian Or Nutrition Professional 1456571074 Reassigns benefits to 1 organization
I20240823001586 OK Practitioner - Registered Dietitian Or Nutrition Professional 1456571074 Reassigns benefits to 1 organization
I20251013003938 SD Practitioner - Registered Dietitian Or Nutrition Professional 1456571074 Reassigns benefits to 1 organization

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
Hy-Vee Health PCGroup PAC ID 1254701618, 43 clinicians

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

LicenseStateTypeSpecialty
DT04323TXMDRegistered Dietitian
1082SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC CurrentSince Aug 18, 2025 Accepting new patients
American Health Assessments LLC Dietitian, Registered CurrentSince Jun 23, 2014 Accepting new patients
Hy-Vee Health PC CurrentSince Aug 18, 2025 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.

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.

Verify at the official NPI Registry.