Professional Nutrition Therapists, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PROFESSIONAL NUTRITION THERAPISTS, LLC

Practice address

13490 Ti Blvd
Suite 102
Dallas, TX 75243-1533

Phone

(972) 238-1811

Fax

(800) 888-9560

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Martha McHenry, RD, LD, CDE

Title

Managing Partner

Phone

(972) 238-1811

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Erin S Carter, RD

  • Registered Dietitian
  • Dallas, TX
  • NPI 1265765085
  NPD (past)
• Donna Alexander Israel, PHD, RD, LPC

  • Professional Counselor
  • Dallas, TX
  • NPI 1700023744
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1548539679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13490 TI BLVD",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431533",
            "telephone_number": "972-238-1811",
            "fax_number": "800-888-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13490 TI BLVD",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431533",
            "telephone_number": "972-238-1811",
            "fax_number": "800-888-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NUTRITION THERAPISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "972-238-1811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD, CDE"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy James Proctor, PH.D.
• Productive Rehabilitation Institute of Dallas for Ergonomics (P R I D E Inc.)
• Ingrid F Proenca-Afonso, D.D.S.
• Professional Care Facility
• Professional Diagnostic Affiliates (DFW Pda)
• Professional Vascular Diagnostics Inc.
• John Leslie Proffitt, MD
• Amanda Lynn Profit, MD
• Jenni Profit
• Progressive Anesthesia Institute PLLC

• Multi-Specialty Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.