Active NPI
Betty Jean Quitt, RD
- Registered Dietitian
- Fort Sam Houston, TX
National Provider Identifier
1265423164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 539
- Practice address
- 3851 Roger Brooke Dr
McHe-QF (Credentials)
Fort Sam Houston, TX 78234-4501 - Phone
- (210) 916-3375
- NPI assigned
- Oct 31, 2005
- 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 | 539 | ND | Primary |
Addresses
Primary practice location
3851 Roger Brooke Dr
McHe-QF (Credentials)
Fort Sam Houston, TX 78234-4501
Mailing address
7903 Clearwater Blvd
Selma, TX 78154-3347
Phone (210) 454-9817
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | ND | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1265423164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7903 CLEARWATER BLVD",
"city": "SELMA",
"state": "TX",
"postal_code": "781543347",
"telephone_number": "210-454-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "MCHE-QF (CREDENTIALS)",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "210-916-3375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUITT",
"first_name": "BETTY",
"middle_name": "JEAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ND",
"license": "539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.