Active NPI
Brenda Gail Snow, MED,RD,LD
- Registered Dietitian
- Greenville, TX
National Provider Identifier
1366691107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT04362
- Practice address
- 4309 Ridgecrest Rd
Suite 150
Greenville, TX 75402-6004 - Phone
- (903) 455-9922
- Fax
- (903) 455-9914
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | DT04362 | TX | Primary |
Addresses
Primary practice location
4309 Ridgecrest Rd
Suite 150
Greenville, TX 75402-6004
Mailing address
4309 Ridgecrest Rd
Suite 150
Greenville, TX 75402-6004
Phone (903) 583-3985
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1366691107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 RIDGECREST RD",
"address_2": "SUITE 150",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754026004",
"telephone_number": "903-583-3985",
"fax_number": "903-455-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 RIDGECREST RD",
"address_2": "SUITE 150",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754026004",
"telephone_number": "903-455-9922",
"fax_number": "903-455-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "BRENDA",
"middle_name": "GAIL",
"credential": "MED,RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT04362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
- Toni Smith-Whiteeagle, PA
- Kristine Nicole Smith
- Kyle Matthew Smith, D.D.S.
- Kimberly J Snell, LPC
- SNG - Greenville Dialysis Center LP
- Snyder Partners, LLC (Hunt Community Pharmacy)
- Jennifer R Speulda, MSN, APRN, FNP-C
- Angela U Spradlin, RN
- St. Anthony's Diagnostic PLLC
- St. Giles Living Centers, Inc. (3506 Garber Circle)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.