Active NPI
Demetrices Robinson
- Registered Dietitian
- Grapevine, TX
National Provider Identifier
1639012255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86378118
- Practice address
- 2922 Oak Forest Dr
Grapevine, TX 76051-3856 - Phone
- (254) 338-3902
- NPI assigned
- Apr 9, 2026
- Sex
- Unspecified or another gender identity
- 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 | 86378118 | TX | Primary |
Addresses
Primary practice location
2922 Oak Forest Dr
Grapevine, TX 76051-3856
Mailing address
2922 Oak Forest Dr
Grapevine, TX 76051-3856
Phone (254) 338-3902
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86378118 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coach Dee Fitness and Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Grapevine, TX
- NPI 1376465690
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1639012255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 OAK FOREST DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513856",
"telephone_number": "254-338-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 OAK FOREST DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513856",
"telephone_number": "254-338-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DEMETRICES",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "86378118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.