Individual provider Active NPI

Maria Teresa Rivera, MS, RDN

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1649507435
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81677 Issued in TX
Practice address
16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910
Phone
(210) 797-6295
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT81677 TX Primary

Addresses

Primary practice location

16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910

Mailing address

5817 Short Springs CT
The Colony, TX 75056-6452
Phone (210) 797-6295

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
Master of Science

State licenses

LicenseStateTypeSpecialty
DT81677TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Nutrition Counseling LLC Dietitian, Registered CurrentSince Feb 1, 2022 Accepting new patients

Locations

16980 Dallas Pkwy
Ste 204
Dallas, TX 75248
Phone (972) 733-6565

2591 Dallas Pkwy
Ste 300
Frisco, TX 75034
Phone (469) 708-9380

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.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1649507435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 SHORT SPRINGS CT",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566452",
            "telephone_number": "210-797-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16980 DALLAS PKWY STE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481910",
            "telephone_number": "210-797-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.