Active NPI
Diane Bentley Rollins, PH.D., R.D., L.D.
- Registered Dietitian
- Southlake, TX
National Provider Identifier
1528212313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT03326
- Practice address
- 1614 Heatherbrook CT
Southlake, TX 76092-4052 - Phone
- (817) 481-5971
- NPI assigned
- Nov 6, 2008
- Last updated
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT03326 | TX | Primary |
Addresses
Primary practice location
1614 Heatherbrook CT
Southlake, TX 76092-4052
Mailing address
1614 Heatherbrook CT
Southlake, TX 76092-4052
Phone (817) 481-5971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT03326 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1528212313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 HEATHERBROOK CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760924052",
"telephone_number": "817-481-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 HEATHERBROOK CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760924052",
"telephone_number": "817-481-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "DIANE",
"middle_name": "BENTLEY",
"name_prefix": "Dr.",
"credential": "PH.D., R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT03326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.