Individual provider Active NPI

Naveena Reddy, MBA,MS,RD

  • Registered Dietitian
  • Allen, TX
National Provider Identifier
1477672848
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT07116 Issued in TX
Practice address
700 Central Expy S Ste 400
Allen, TX 75013-8113
Phone
(214) 620-6569
NPI assigned
Mar 28, 2007
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Registered Dietitian 133V00000X DT07116 TX Primary

Addresses

Primary practice location

700 Central Expy S Ste 400
Allen, TX 75013-8113

Mailing address

700 Central Expy S Ste 400
Allen, TX 75013-8113
Phone (214) 620-6569

Other practice location 1

3336 Spring Mountain Dr
Plano, TX 75025-3953
Phone (214) 732-9680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000243 TX Practitioner - Registered Dietitian Or Nutrition Professional 0840379772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Cardio and Renal Therapeutics of North Texas PLLCGroup PAC ID 7810329638, 32 clinicians

Practice addresses (Care Compare)

5830 Collin McKinney Pkwy
Suite 302
McKinney, TX 75070-5109
Phone (214) 272-2774

5830 Granite Pkwy
Suite 100 249
Plano, TX 75024-6771
Phone (940) 229-8673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
1105KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio & Renal Therapeutics of North Texas PLLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Youtrition Dietitian, Registered PastSince Jul 31, 2018 Accepting new patients

Locations

4510 Medical Center Dr
Ste 202
McKinney, TX 75069
Phone (214) 547-7557

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

Organizations & group practices 3

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1477672848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CENTRAL EXPY S STE 400",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138113",
            "telephone_number": "214-620-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CENTRAL EXPY S STE 400",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138113",
            "telephone_number": "214-620-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3336 Spring Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750253953",
            "country_code": "US",
            "telephone_number": "214-732-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NAVEENA",
        "credential": "MBA,MS,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.