Active NPI
Yomayra Hanlon, MS, RD, LD, CNSC
- Registered Dietitian
- Keller, TX
National Provider Identifier
1255042230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86005726
- Practice address
- 791 S Main St
Keller, TX 76248-4905 - Phone
- (817) 898-6925
- NPI assigned
- Dec 9, 2022
- 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 | 86005726 | TX | Primary |
Addresses
Primary practice location
791 S Main St
Keller, TX 76248-4905
Mailing address
7000 Warm Springs TRL
Fort Worth, TX 76137-4713
Phone (817) 716-3520
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86005726 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1255042230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 WARM SPRINGS TRL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761374713",
"telephone_number": "817-716-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 S MAIN ST",
"city": "KELLER",
"state": "TX",
"postal_code": "762484905",
"telephone_number": "817-898-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON",
"first_name": "YOMAYRA",
"credential": "MS, RD, LD, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "86005726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.