Active NPI
Rd Nutrition, LLC
- Registered Dietitian
- Sulphur Springs, TX
National Provider Identifier
1336395375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 724403
- 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, 2008
- 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
- Mr. Bob Latham
- Title
- Owner
- Phone
- (903) 348-5163
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.