Nutricorp Dietitian Consultants PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRICORP DIETITIAN CONSULTANTS PLLC

Practice address

4002 Paredes Line Rd Ste 11
Brownsville, TX 78526-1266

Phone

(956) 460-2488

Fax

(956) 518-7486

NPI assigned

Oct 12, 2020

Last updated

Apr 19, 2024By 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

Jonathan Isaiah Chapa, RD, LDNPI 1295183283

Title

Owner

Phone

(956) 460-2488

Specialties & licenses 10

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Jonathan I Chapa, RDN, CSCS

  • Registered Dietitian
  • Brownsville, TX
  • NPI 1295183283

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Edna Alvarez, RD, LD

  • Registered Dietitian
  • Brownsville, TX
  • NPI 1083503296

  Dietitian, Registered

  NPD
• Caroline Gea, RD, LD

  • Registered Dietitian
  • Brownsville, TX
  • NPI 1356231153

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1568060648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 PAREDES LINE RD STE 11",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261266",
            "telephone_number": "956-460-2488",
            "fax_number": "956-518-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 PAREDES LINE RD STE 11",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261266",
            "telephone_number": "956-460-2488",
            "fax_number": "956-518-7486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Trenton Rd Ste L",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391504",
            "country_code": "US",
            "telephone_number": "956-460-2488",
            "fax_number": "956-518-7486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785206313",
            "country_code": "US",
            "telephone_number": "956-460-2488",
            "fax_number": "956-518-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRICORP DIETITIAN CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "CHAPA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ISAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-460-2488",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.