Organization Active NPI

Luminary Nutrition LLC

  • Registered Dietitian
  • Plano, TX
National Provider Identifier
1154884088
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LUMINARY NUTRITION LLC
Practice address
4965 Preston Park Blvd Ste 700
Plano, TX 75093-5141
Phone
(972) 926-3683
Fax
(972) 920-6765
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Elora Bazanele, MS, RD, LDNPI 1619440856
Title
Owner
Phone
(972) 926-3683

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4965 Preston Park Blvd Ste 700
Plano, TX 75093-5141

Mailing address

4965 Preston Park Blvd Ste 700
Plano, TX 75093-5141
Phone (972) 926-3683

National Provider Directory

National Provider Directory

Locations

4965 Preston Park Blvd
Ste 700
Plano, TX 75093
Phone (214) 760-6963

Practitioners & 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": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1154884088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 PRESTON PARK BLVD STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935141",
            "telephone_number": "972-926-3683",
            "fax_number": "972-920-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 PRESTON PARK BLVD STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935141",
            "telephone_number": "972-926-3683",
            "fax_number": "972-920-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINARY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BAZANELE",
        "authorized_official_first_name": "ELORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-926-3683",
        "authorized_official_credential": "MS, RD, LD"
    },
    "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 Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.