Individual provider Active NPI

Suzie Solenberger McCall, MS,RD,LD

  • Registered Dietitian
  • Grapevine, TX
National Provider Identifier
1447454111
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT06161 Issued in TX
Practice address
603 S Main St Ste 205
Grapevine, TX 76051-5390
Phone
(817) 513-0656
Fax
(817) 764-7400
NPI assigned
Jun 14, 2007
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 DT06161 TX Primary

Addresses

Primary practice location

603 S Main St Ste 205
Grapevine, TX 76051-5390

Mailing address

603 S Main St Ste 205
Grapevine, TX 76051-5390
Phone (817) 513-0656

Other practice location 1

300 Preakness Cir
Southlake, TX 76092-5105
Phone (817) 513-0656

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT06161TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Eating Coach, LLC Dietitian, Registered CurrentSince Jul 25, 2021 Accepting new patients

Locations

603 S Main St
Ste 205
Grapevine, TX 76051
Phone (817) 513-0656

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1447454111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S MAIN ST STE 205",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515390",
            "telephone_number": "817-513-0656",
            "fax_number": "817-764-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S MAIN ST STE 205",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515390",
            "telephone_number": "817-513-0656",
            "fax_number": "817-764-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Preakness Cir",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760925105",
            "country_code": "US",
            "telephone_number": "817-513-0656",
            "fax_number": "817-764-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "SUZIE",
        "middle_name": "SOLENBERGER",
        "name_prefix": "Ms.",
        "credential": "MS,RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.