NPIMap

Organization Active NPI

Complete Nutrition Solutions LLC

  • Registered Dietitian
  • Mission, TX
National Provider Identifier
1427675818
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
COMPLETE NUTRITION SOLUTIONS LLC
Practice address
2806 Santa Olivia St
Mission, TX 78572-7615
Phone
(956) 600-4473
NPI assigned
Jul 1, 2020
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Ana D Escrivan, RD
Title
Managing Member
Phone
(956) 600-4473

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X NU
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2806 Santa Olivia St
Mission, TX 78572-7615

Mailing address

PO Box 5403
Mission, TX 78573-0093
Phone (956) 600-4473

Other practice location 1

800 N Main St Ste 300
McAllen, TX 78501-4974
Phone (956) 600-4475

Other practice location 2

1001 Rone Dr Ste F
Weslaco, TX 78596-4843
Phone (956) 600-4475

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201012002556 TX Part B Supplier - Clinic/Group Practice 1557781614 Receives reassigned benefits from 9 practitioners
Practice locations: Weslaco, TX; Mission, TX; McAllen, TX; Brownsville, TX

National Provider Directory

National Provider Directory

Locations

4430 E 14th St
Brownsville, TX 78521
Phone (956) 230-1605

611 N McColl Rd
Ste A
McAllen, TX 78501
Phone (956) 600-3475

800 N Main St
Ste 300
McAllen, TX 78501
Phone (956) 600-4475

1001 Rone Dr
Ste F
Weslaco, TX 78596
Phone (956) 600-4475

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1427675818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5403",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730093",
            "telephone_number": "956-600-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 SANTA OLIVIA ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727615",
            "telephone_number": "956-600-4473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785014974",
            "country_code": "US",
            "telephone_number": "956-600-4475",
            "fax_number": "956-447-1035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Rone Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785964843",
            "country_code": "US",
            "telephone_number": "956-600-4475",
            "fax_number": "956-447-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE NUTRITION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "ESCRIVAN",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "956-600-4473",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.