Carmen A Avendano, PH.D, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06348 Issued in TX

Practice address

726 Leann Lane
Cedar Park, TX 78613-6701

Phone

(512) 259-1038

NPI assigned

Feb 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Prof. Carmen A Avendano Benham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1346489994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 LEANN LN",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136701",
            "telephone_number": "512-259-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 LEANN LANE",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136701",
            "telephone_number": "512-259-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENDANO",
        "first_name": "CARMEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PH.D, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06348",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT06348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "AVENDANO BENHAM",
            "middle_name": "A",
            "prefix": "PROF.",
            "credential": "PH.D, RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rebecca Ayala

• Registered Dietitian in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.