Individual provider Active NPI

Haley Laura Pfannstiel, RDN

  • Registered Dietitian
  • Plano, TX
National Provider Identifier
1326694035
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT86136 Issued in TX
Practice address
700 E Park Blvd Ste 206
Plano, TX 75074-5472
Phone
(972) 422-9180
NPI assigned
Aug 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT86136 TX Primary

Addresses

Primary practice location

700 E Park Blvd Ste 206
Plano, TX 75074-5472

Mailing address

700 E Park Blvd Ste 206
Plano, TX 75074-5472
Phone (972) 422-9180

Other identifiers 1

IdentifierTypeStateIssuer
402363201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address haley@lemondnutrition.com Health Information Exchange (HIE) Nutriphasics, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT86136TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1326694035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E PARK BLVD STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745472",
            "telephone_number": "972-422-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E PARK BLVD STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745472",
            "telephone_number": "972-422-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFANNSTIEL",
        "first_name": "HALEY",
        "middle_name": "LAURA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402363201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haley@lemondnutrition.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Nutriphasics, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ECXL",
            "address_1": "700 E Park Blvd Ste 206",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750745472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.