Organization Active NPI

Fuel Your Intensity

  • Registered Dietitian
  • Waxahachie, TX
National Provider Identifier
1275959793
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT07454 Issued in TX
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

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mrs. Kelly Rozier, RD, LDNPI 1376731315
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
196126001MedicaidTX
1531043OtherTXCIGNA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.