Certified Nutrition Consultants, PLLC

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DT05843 Issued in TX

Legal business name

CERTIFIED NUTRITION CONSULTANTS, PLLC

Practice address

855 W Price Rd
Suite 3
Brownsville, TX 78520-8742

Phone

(956) 546-4898

Fax

(956) 517-1015

NPI assigned

Dec 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra G Betancourt, R.D., L.D.NPI 1851507487

Title

Owner

Phone

(956) 546-4898

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Sandra Garza Betancourt, RDN/LD

  • Pediatric Nutrition Registered Dietitian
  • Brownsville, TX
  • NPI 1851507487

  Nutrition, Pediatric

  Medicare reassignment Care Compare group NPD Authorized official
• Joel Betancourt, RD/RDN, LD

  • Registered Dietitian
  • Brownsville, TX
  • NPI 1972338465
  Medicare reassignment Care Compare group NPD
• Brenda Itzel Alanis Herrera, DIETITITAN

  • Nutritionist
  • Brownsville, TX
  • NPI 1598407710
  NPD
• Dania Lucia Garcia Garcia, NUTRITIONIST

  • Nutritionist
  • Brownsville, TX
  • NPI 1689316812
  NPD

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1457697260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RIO CT",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262002",
            "telephone_number": "956-546-4898",
            "fax_number": "956-517-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W PRICE RD",
            "address_2": "SUITE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208742",
            "telephone_number": "956-546-4898",
            "fax_number": "956-517-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED NUTRITION CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-546-4898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D., L.D."
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT05843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150179305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Urgent Care PLLC
• Century-Ebony Lake-Geac,LLC
• Francisco J Cepeda
• Luis A Cerda
• Mario Alberto Cerdan Trevino, MD
• Dagoberto Cervantes, RN
• Edna Elizabeth Cervantes
• Jaime Eduardo Cervantes
• Michelle Cervantes, RN
• Aurora Aracely Cespedes Madrigal, REGISTERED DIETITIAN

• Pediatric Nutrition Registered Dietitian in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Pediatric Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.