Organization Active NPI

Rd Nutrition, LLC

  • Registered Dietitian
  • Sulphur Springs, TX
National Provider Identifier
1336395375
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
724403 Issued in TX
Legal business name
RD NUTRITION, LLC
Practice address
106 Medical Cir
Sulphur Springs, TX 75482-2138
Phone
(903) 348-5163
Fax
(903) 885-6940
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Mr. Bob Latham
Title
Owner
Phone
(903) 348-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 724403 TX Primary

Addresses

Primary practice location

106 Medical Cir
Sulphur Springs, TX 75482-2138

Mailing address

500 Oak Ave
Sulphur Springs, TX 75482-4132
Phone (903) 348-5163

National Provider Directory

National Provider Directory

Locations

6701 Koll Center Pkwy
Ste 250
Pleasanton, CA 94566
Phone (510) 903-1167

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": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1336395375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OAK AVE",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824132",
            "telephone_number": "903-348-5163",
            "fax_number": "903-885-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-348-5163",
            "fax_number": "903-885-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-348-5163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "724403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.