Rebecca Bridgefarmer
Individual provider Active NPI Registered Dietitian · Nevada, TX
NPI 1326501461 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1326501461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT87638 (TX)
- Practice address
- 415 Whitney Dr
Nevada, TX 75173-8344 - Phone
- (214) 808-8710
- NPI assigned
- Apr 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT87638 | TX | Yes |
Addresses
Primary practice location
415 Whitney Dr
Nevada, TX 75173-8344
Mailing address
415 Whitney Dr
Nevada, TX 75173-8344
Phone (214) 808-8710
Other providers in Nevada, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.