Active NPI
Marjorie Anne Craven, RDN, LD
- Registered Dietitian
- Dallas, TX
National Provider Identifier
1184270597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84629
- Practice address
- 1935 Medical District Dr
Dallas, TX 75235-7701 - Phone
- (844) 424-4537
- NPI assigned
- Aug 12, 2019
- Last updated
- Nov 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 8867671-4901 | UT | |
| Registered Dietitian | 133V00000X | DT84629 | TX | Primary |
Addresses
Primary practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Mailing address
236 W Rochelle Rd Apt 411
Irving, TX 75062-5762
Phone (814) 706-6093
Other practice location 1
236 W Rochelle Rd Apt 411
Irving, TX 75062-5762
Phone (814) 706-6093
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | morethanawishrdn@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT84629 | TX | MD | Registered Dietitian |
| 8867671-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1184270597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 W ROCHELLE RD APT 411",
"city": "IRVING",
"state": "TX",
"postal_code": "750625762",
"telephone_number": "814-706-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "844-424-4537"
}
],
"practiceLocations": [
{
"address_1": "236 W Rochelle Rd Apt 411",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750625762",
"country_code": "US",
"telephone_number": "814-706-6093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAVEN",
"first_name": "MARJORIE",
"middle_name": "ANNE",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "8867671-4901",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84629",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "morethanawishrdn@gmail.com",
"affiliation": "Y",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1935 Medical District Dr",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752357701",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 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.