The Fitness Formula, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE FITNESS FORMULA, INC.

Doing business as

Professional Nutrition Therapists

Practice address

1177 Rockingham LN
Ste 128
Richardson, TX 75205-4373

Phone

(972) 238-1811

Fax

(972) 690-3755

NPI assigned

Aug 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donna Alexander Israel, PHD, RD, LD, LPCNPI 1700023744

Title

President

Phone

(972) 238-1811

Specialties & licenses 1

Addresses

Other names 1

• Professional Nutrition Therapists Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna Alexander Israel, PHD, RD, LPC

  • Professional Counselor
  • Dallas, TX
  • NPI 1700023744
  Authorized official Same address or phone

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487662854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 ROCKINGHAM",
            "address_2": "STE 128",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "972-238-1811",
            "fax_number": "972-690-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 ROCKINGHAM LN",
            "address_2": "STE 128",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "752054373",
            "telephone_number": "972-238-1811",
            "fax_number": "972-690-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FITNESS FORMULA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-238-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RD, LD, LPC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Nutrition Therapists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Toole Ken Theppote, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.