Individual provider Active NPI

Teresa Finazzo, RDN, LD

  • Registered Dietitian
  • Coppell, TX
National Provider Identifier
1386226769
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85876 Issued in TX
Practice address
851 Lakeview Dr
Coppell, TX 75019-5418
Phone
(972) 467-4214
Fax
(972) 462-0490
NPI assigned
Apr 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT85876 TX Primary

Addresses

Primary practice location

851 Lakeview Dr
Coppell, TX 75019-5418

Mailing address

851 Lakeview Dr
Coppell, TX 75019-5418
Phone (197) 246-7421

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT85876TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1386226769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 LAKEVIEW DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195418",
            "telephone_number": "197-246-7421",
            "fax_number": "972-462-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LAKEVIEW DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195418",
            "telephone_number": "972-467-4214",
            "fax_number": "972-462-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINAZZO",
        "first_name": "TERESA",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.