Individual provider Active NPI

Araceli Vazquez Nutrition and Vida, MS, RD, LD

  • Registered Dietitian
  • Richardson, TX
National Provider Identifier
1255505566
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT06710 Issued in TX
Practice address
1900 Jay Ell Dr
Richardson, TX 75081-1838
Phone
(972) 664-0846
Fax
(972) 744-0726
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT06710 TX Primary

Addresses

Primary practice location

1900 Jay Ell Dr
Richardson, TX 75081-1838

Mailing address

514 Raven Dr
Murphy, TX 75094-3907
Phone (972) 664-0846

Other identifiers 4

IdentifierTypeStateIssuer
2043127-02MedicaidTX
613657OtherTXMEDICARE PTAN
01309466OtherTXAMERIGROUP
2043127-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090223000240 TX Practitioner - Registered Dietitian Or Nutrition Professional 3375608524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Jay Ell Dr
Richardson, TX 75081-1838
Phone (972) 664-0846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Dietgenics Nutrition Consulting Limited Liability Company Dietitian, Registered CurrentSince Jul 11, 2012 Accepting new patients

Locations

1900 Jay Ell Dr
Richardson, TX 75081
Phone (214) 985-9004

1221 Abrams Rd
Ste 210
Richardson, TX 75081
Phone (972) 664-0846

990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1255505566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 RAVEN DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943907",
            "telephone_number": "972-664-0846",
            "fax_number": "972-744-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 JAY ELL DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811838",
            "telephone_number": "972-664-0846",
            "fax_number": "972-744-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ NUTRITION AND VIDA",
        "first_name": "ARACELI",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043127-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "613657",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01309466",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043127-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.