Organization Active NPI

Fueled Fit & Free, LLC

  • Registered Dietitian
  • Grapevine, TX
National Provider Identifier
1447842083
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FUELED FIT & FREE, LLC
Practice address
1000 S Main St Ste 200
Grapevine, TX 76051-7503
Phone
(469) 472-6576
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Caitlin Munnerlyn, RD, LDNPI 1770991283
Title
Registered Dietitian
Phone
(469) 472-6576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1000 S Main St Ste 200
Grapevine, TX 76051-7503

Mailing address

1719 Sagebrush TRL
Grapevine, TX 76051-2764
Phone (469) 472-6576

National Provider Directory

National Provider Directory

Locations

1000 S Main St
Ste 200
Grapevine, TX 76051
Phone (469) 472-6576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1447842083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 SAGEBRUSH TRL",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512764",
            "telephone_number": "469-472-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MAIN ST STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517503",
            "telephone_number": "469-472-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUELED FIT & FREE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "MUNNERLYN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "469-472-6576",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Feb 5, 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.