Daniel Alberto Cortez, RD/LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86009996 Issued in TX

Practice address

4319 Addison CT
College Station, TX 77845-4184

Phone

(956) 342-0747

Fax

(151) 251-9885

NPI assigned

Jul 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375574400000",
    "number": "1285076141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 ADDISON CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454184",
            "telephone_number": "956-342-0747",
            "fax_number": "151-251-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 ADDISON CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454184",
            "telephone_number": "956-342-0747",
            "fax_number": "151-251-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "DANIEL",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "RD/LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-20",
        "last_updated": "2013-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86009996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285076141",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Cook
• Jacqueline Siegrid Cook, FNP-C
• Logan Dean Cook
• Patricia Deann Copley, MD
• Brooke Michelle Cortez
• Monique Cortez, MD
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Shelly Jean Coufal, LPC

• Registered Dietitian in College Station, TX
• Providers in College Station, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.