Irma I Medina, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT84674 Issued in TX

Practice address

2800 Shoreline Dr Ste 120
Denton, TX 76210-0130

Phone

(855) 383-1240

Fax

(855) 383-1241

NPI assigned

May 18, 2018

Last updated

May 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mobile Medical Consultants, PLLC

  dba Itinerant Primary Care

  • General Practice Physician
  • Dallas, TX
  • NPI 1346839859
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1447741087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50745",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762060745",
            "telephone_number": "855-383-1240",
            "fax_number": "855-383-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SHORELINE DR STE 120",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100130",
            "telephone_number": "855-383-1240",
            "fax_number": "855-383-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "IRMA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medford Chiropractic & Family Wellness LLC
• Rachel Medford, DC
• Medi Care Clinics PLLC
• Medical Clinic of North Texas, P.a.
• Medical Edge Healthcare Group PA (Denton Medical Services)
• Megs Discount Pharmacy
• Madiha Mehmud
• Vanessa Nicole Meister, AG-ACNP
• Mel Vision LLC (My EyeLab)
• Melanie Epp Counseling

• Registered Dietitian in Denton, TX
• Providers in Denton, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.