Active NPI
Graciela Evans, RD
- Registered Dietitian
- Amarillo, TX
National Provider Identifier
1417118308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80748
- Practice address
- 6010 W Amarillo Blvd
Amarillo, TX 79106-1990 - Phone
- (806) 354-7881
- Fax
- (806) 468-1502
- NPI assigned
- Jun 23, 2008
- Last updated
- Jun 23, 2008
- 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 | DT80748 | TX | Primary |
Addresses
Primary practice location
6010 W Amarillo Blvd
Amarillo, TX 79106-1990
Mailing address
2702 Sweetgum LN
Amarillo, TX 79124-4928
Phone (806) 367-7540
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT80748 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1417118308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 SWEETGUM LN",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791244928",
"telephone_number": "806-367-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 W AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061990",
"telephone_number": "806-354-7881",
"fax_number": "806-468-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "GRACIELA",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.