Active NPI
Fuel Your Intensity
- Registered Dietitian
- Waxahachie, TX
National Provider Identifier
1275959793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT07454
- Legal business name
- FUEL YOUR INTENSITY
- Practice address
- 209 E Main St
Waxahachie, TX 75165-3755 - Phone
- (469) 383-8334
- NPI assigned
- Mar 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Rozier, RD, LD
- Title
- Registered Dietitian
- Phone
- (972) 935-6722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT07454 | TX | Primary |
Addresses
Primary practice location
209 E Main St
Waxahachie, TX 75165-3755
Mailing address
209 E Main St
Waxahachie, TX 75165-3755
Phone (469) 383-8334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196126001 | Medicaid | TX | |
| 1531043 | Other | TX | CIGNA |
National Provider Directory
National Provider DirectoryLocations
209 E Main St
Waxahachie, TX 75165
Phone (469) 383-8334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396310400000",
"number": "1275959793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E MAIN ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751653755",
"telephone_number": "469-383-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E MAIN ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751653755",
"telephone_number": "469-383-8334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUEL YOUR INTENSITY",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-07",
"last_updated": "2014-04-01",
"status": "A",
"authorized_official_last_name": "ROZIER",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "972-935-6722",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT07454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196126001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1531043",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.