Active NPI
Cheryl Lea Deshazo, RD, LD
- Registered Dietitian
- Abilene, TX
National Provider Identifier
1659479863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT01099
- Practice address
- 765 Orange St
Abilene, TX 79601-5011 - Phone
- (325) 670-4847
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | DT01099 | TX | Primary |
Addresses
Primary practice location
765 Orange St
Abilene, TX 79601-5011
Mailing address
2616 S Clack St
Abilene, TX 79606-1557
Phone (325) 690-5131
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 |
|---|---|---|---|
| DT01099 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abilene Regional MHMR Center | Past | Accepting new patients | |
| Abilene Regional MHMR Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Betty Hardwick MHMR Center
- Developmentally Disabled Services Day Training Agency
- Abilene, TX
- NPI 1336334168
-
dba Betty Hardwick MHMR Center
- Early Intervention Provider Agency
- Abilene, TX
- NPI 1568641942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659479863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 S CLACK ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796061557",
"telephone_number": "325-690-5131",
"fax_number": "325-690-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 ORANGE ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796015011",
"telephone_number": "325-670-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHAZO",
"first_name": "CHERYL",
"middle_name": "LEA",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT01099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
- Dental Health Associates of TX, P.C. (Abilene Dental)
- Clifford L Deprang, M.D.
- Elaine N Deprang, PHARMD
- Jerry C Depriest, MD
- Dept of Assistive & Rehab Services - Abilene Field Office
- Rafaela L Desoto-Ray III, LPC
- Deulofeut Physician Services PLLC
- Mattie Devries, RPH
- Tyler Andrew Dews
- Diagnostic Acquisition, LLC (Diagnostic Management Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.