Active NPI
Chelsea Lyn Bullock, RDN, LD
- Registered Dietitian
- Plano, TX
National Provider Identifier
1235735929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86052447
- Practice address
- 4716 Alliance Blvd Ste 310
Plano, TX 75093-5325 - Phone
- (469) 814-3840
- NPI assigned
- Dec 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86052447 | Primary |
Addresses
Primary practice location
4716 Alliance Blvd Ste 310
Plano, TX 75093-5325
Mailing address
4716 Alliance Blvd Ste 310
Plano, TX 75093-5325
Phone (469) 814-3840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86052447 | Other | COMMISSION ON DIETETIC REGISTRATION ID |
Other names 1
- Miss Chelsea Lyn Mills
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Chelsea.Bullock@BSWHealth.org | Direct |
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
Interoperability endpoints
- chelsea.bullock@bswhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1235735929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 ALLIANCE BLVD STE 310",
"city": "PLANO",
"state": "TX",
"postal_code": "750935325",
"telephone_number": "469-814-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 ALLIANCE BLVD STE 310",
"city": "PLANO",
"state": "TX",
"postal_code": "750935325",
"telephone_number": "469-814-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "CHELSEA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86052447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION ID",
"identifier": "86052447",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Chelsea.Bullock@BSWHealth.org",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct message",
"address_1": "4716 Alliance Blvd Ste 310",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750935325",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "MILLS",
"middle_name": "LYN",
"prefix": "MISS",
"credential": "RDN, LD",
"code": "1",
"type": "Former Name"
}
]
}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 Dec 8, 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.