Nicole Marie Ortiz, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT92497 Issued in TX

Practice address

101 Summit Ave Ste 907
Fort Worth, TX 76102-2613

Phone

(817) 438-8044

Fax

(833) 290-5413

NPI assigned

Sep 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of Texas Southwestern Medical School at Dallas, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doherty Nutrition LLCGroup PAC ID 0941610273, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doherty Nutrition LLC

  • Registered Dietitian
  • Dallas, TX
  • NPI 1326502832

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1215809603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17060 DALLAS PKWY STE 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481905",
            "telephone_number": "469-372-2022",
            "fax_number": "833-290-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SUMMIT AVE STE 907",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022613",
            "telephone_number": "817-438-8044",
            "fax_number": "833-290-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 E Southlake Blvd Ste 106&107",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926341",
            "country_code": "US",
            "telephone_number": "469-372-2022",
            "fax_number": "833-290-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT92497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Francisco Ortiz Gil, M.D.
• Delaney Ortiz, LPC-A
• Estela Ledezma Ortiz
• Jennifer Lynn Ortiz, MSPT
• Jessica Ortiz
• Tiwanna Ortiz, CERTIFIED HAIR LOSS
• Joel Ortlip, DDS
• Kwaku A Osafo-Mensah, MD
• Obiyaa Kyiraka Akua Osafo-Mensah
• Shadia Osakwe

• Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.