Organization Active NPI

Equipped Wellness LLC

Doing business as Equipped Wellness

  • Registered Dietitian
  • Wylie, TX
National Provider Identifier
1306720057
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Hannah Eboagu, MCN, LD, RDNPI 1447030762
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.