NPIMap

Organization Active NPI

Fuel for Life

  • Registered Dietitian
  • Cedar Park, TX
National Provider Identifier
1629675483
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FUEL FOR LIFE
Practice address
2301 Bagdad Rd Ste 404
Cedar Park, TX 78613-6519
Phone
(512) 630-0367
Fax
(210) 209-8250
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Chelsea CrawfordNPI 1962995209
Title
Owner
Phone
(210) 591-3640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2301 Bagdad Rd Ste 404
Cedar Park, TX 78613-6519

Mailing address

2301 Bagdad Rd Ste 404
Cedar Park, TX 78613-6519
Phone (512) 630-0367

Other practice location 1

15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983
Phone (210) 591-3640

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://my.practicebetter.io/#/p/home Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210216001669 TX Part B Supplier - Clinic/Group Practice 0143635680 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar Park, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2301 Bagdad Rd
Ste 404
Cedar Park, TX 78613
Phone (210) 591-3640

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1629675483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BAGDAD RD STE 404",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136519",
            "telephone_number": "512-630-0367",
            "fax_number": "210-209-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BAGDAD RD STE 404",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136519",
            "telephone_number": "512-630-0367",
            "fax_number": "210-209-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15303 Huebner Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782480983",
            "country_code": "US",
            "telephone_number": "210-591-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUEL FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2024-01-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-591-3640"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://my.practicebetter.io/#/p/home",
            "affiliation": "N",
            "endpointDescription": "client management platform",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "patient information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA compliant client management",
            "address_1": "2734 Johnson Grass",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782512352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.