Active NPI
Anthony Paradis, RD, LD
- Registered Dietitian
- Flower Mound, TX
National Provider Identifier
1356686034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82564
- Practice address
- 4951 Long Prairie Rd
Ste 110
Flower Mound, TX 75028-2707 - Phone
- (570) 503-6635
- NPI assigned
- Dec 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82564 | TX | Primary |
Addresses
Primary practice location
4951 Long Prairie Rd
Ste 110
Flower Mound, TX 75028-2707
Mailing address
401 N Old Orchard LN
#134
Lewisville, TX 75067-3649
Phone (570) 503-6635
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1356686034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N OLD ORCHARD LN",
"address_2": "#134",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673649",
"telephone_number": "570-503-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 LONG PRAIRIE RD",
"address_2": "STE 110",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282707",
"telephone_number": "570-503-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARADIS",
"first_name": "ANTHONY",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.