Active NPI
Equipped Wellness LLC
Doing business as Equipped Wellness
- Registered Dietitian
- Wylie, TX
National Provider Identifier
1306720057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- EQUIPPED WELLNESS LLC
- Doing business as
- Equipped Wellness
- Practice address
- 905 Glen Lakes CT
Wylie, TX 75098-7317 - Phone
- (972) 989-2971
- NPI assigned
- Aug 5, 2025
- Last updated
- Aug 5, 2025
- 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
- Hannah Eboagu, MCN, LD, RD
- Title
- Owner/Lead Dietitian
- Phone
- (972) 989-2971
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | NU | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | NU | ||
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | NU |
Addresses
Primary practice location
905 Glen Lakes CT
Wylie, TX 75098-7317
Mailing address
905 Glen Lakes CT
Wylie, TX 75098-7317
Phone (972) 989-2971
Other names 1
- Equipped Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1306720057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 GLEN LAKES CT",
"city": "WYLIE",
"state": "TX",
"postal_code": "750987317",
"telephone_number": "972-989-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 GLEN LAKES CT",
"city": "WYLIE",
"state": "TX",
"postal_code": "750987317",
"telephone_number": "972-989-2971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUIPPED WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "EBOAGU",
"authorized_official_first_name": "HANNAH",
"authorized_official_title_or_position": "OWNER/LEAD DIETITIAN",
"authorized_official_telephone_number": "972-989-2971",
"authorized_official_credential": "MCN, LD, RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Equipped Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.