Individual provider Active NPI

Ruth L Thompson Murillo, RD, LD

  • Registered Dietitian
  • Fort Worth, TX
National Provider Identifier
1659813830
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84293 Issued in TX
Practice address
512 Lamar St
Fort Worth, TX 76102-3782
Phone
(817) 566-1025
NPI assigned
Nov 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 DT84293 TX Primary

Addresses

Primary practice location

512 Lamar St
Fort Worth, TX 76102-3782

Mailing address

512 Lamar St
Fort Worth, TX 76102-3782
Phone (817) 566-1025

Other names 1

  • Ruth Murillo Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202001191 TX Practitioner - Registered Dietitian Or Nutrition Professional 9739469057 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Young Men's Christian Association of Metropolitan Fort Worth CurrentSince Sep 27, 2020 Accepting new patients
Health Loft Services LLC Dietitian, Registered Past Accepting new patients

Locations

512 Lamar St
Fort Worth, TX 76102
Phone (817) 566-1025

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1659813830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 LAMAR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023782",
            "telephone_number": "817-566-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 LAMAR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023782",
            "telephone_number": "817-566-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON MURILLO",
        "first_name": "RUTH",
        "middle_name": "L",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-05",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "MURILLO",
            "credential": "RD, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.