Individual provider Active NPI

Teresa Ann Beldin, RD, LD, FAND

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1396331310
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT04097 Issued in TX
Practice address
7215 Cameron Rd
Austin, TX 78752-2911
Phone
(512) 406-6140
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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 DT04097 TX Primary

Addresses

Primary practice location

7215 Cameron Rd
Austin, TX 78752-2911

Mailing address

7215 Cameron Rd
Austin, TX 78752-2911
Phone (512) 406-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125002369 TX Practitioner - Registered Dietitian Or Nutrition Professional 7618381146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT04097TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc CurrentSince Oct 22, 2020 Accepting new patients
Vivent Health Inc CurrentSince Oct 22, 2020 Accepting new patients

Locations

104 E Highland Mall Blvd
Ste 100
Austin, TX 78752
Phone (512) 458-2437

7215 Cameron Rd
Austin, TX 78752
Phone (512) 458-2437

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1396331310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 CAMERON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787522911",
            "telephone_number": "512-406-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 CAMERON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787522911",
            "telephone_number": "512-406-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELDIN",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RD, LD, FAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT04097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.