NPIMap

Organization Active NPI

Nutriture LLC

  • Registered Dietitian
  • Euless, TX
National Provider Identifier
1194418731
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITURE LLC
Practice address
900 Estelle Dr
Euless, TX 76040-4540
Phone
(817) 664-3390
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Authorized official

Name
Vilmary Rivera Colon, RDNPI 1063101020
Title
Registered Dietitian Nutritionist
Phone
(817) 664-3390

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 MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

900 Estelle Dr
Euless, TX 76040-4540

Mailing address

750 N Saint Paul St Ste 250
Dallas, TX 75201-3206
Phone (512) 878-3805

National Provider Directory

National Provider Directory

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": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1194418731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N SAINT PAUL ST STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013206",
            "telephone_number": "512-878-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ESTELLE DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760404540",
            "telephone_number": "817-664-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA COLON",
        "authorized_official_first_name": "VILMARY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "817-664-3390",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.