Brenda Celeste Tindall, MBA,RD,LD,CDE,BC-ADM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT05337 Issued in TX

Practice address

2999 Reynolds LN
Frisco, TX 75033-2693

Phone

(817) 475-1275

NPI assigned

Nov 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1154502136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REYNOLDS LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332693",
            "telephone_number": "817-475-1275",
            "fax_number": "817-572-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REYNOLDS LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332693",
            "telephone_number": "817-475-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 9th Ave",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043903",
            "country_code": "US",
            "telephone_number": "817-336-7191 x120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "BRENDA",
        "middle_name": "CELESTE",
        "name_prefix": "Mrs.",
        "credential": "MBA,RD,LD,CDE,BC-ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "817434",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NO.",
            "identifier": "610654",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tigi E Manaloor OD
• Tilahun A Tilahun, PHARMD
• Monica Ann Tillery, LPCA
• Nidhi Pratik Tilva, PT
• Sydney Michelle Timm, CCC-SLP
• Kimberly Ting
• Kristie Tinh
• Craig D Tipton, PHARM.D.
• Christopher Tiu, DMD
• Tiudmd,PLLC

• Registered Dietitian in Frisco, TX
• Providers in Frisco, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.