Active NPI
Stephanie Canales
- Registered Dietitian
- McAllen, TX
National Provider Identifier
1366846131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81313
- Practice address
- 416 Lindberg Ave Ste B
McAllen, TX 78501-2922 - Phone
- (956) 664-1616
- Fax
- (956) 289-4276
- NPI assigned
- Oct 22, 2014
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 | DT81313 | TX | Primary |
Addresses
Primary practice location
416 Lindberg Ave Ste B
McAllen, TX 78501-2922
Mailing address
PO Box 3046
Malvern, PA 19355-0746
Phone (956) 664-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3445025-01 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81313 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366846131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3046",
"city": "MALVERN",
"state": "PA",
"postal_code": "193550746",
"telephone_number": "956-664-1616",
"fax_number": "956-289-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 LINDBERG AVE STE B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012922",
"telephone_number": "956-664-1616",
"fax_number": "956-289-4276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANALES",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3445025-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.