Renal Nutrition LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Legal business name

RENAL NUTRITION LLC

Practice address

404 Entrada Way
Round Rock, TX 78681-1740

Phone

(732) 429-2886

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Dharti Shah, RD, CLTNPI 1861814154

Title

Owner, Registered Dietitian

Phone

(732) 429-2886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Dharti Shah, RDN

  • Registered Dietitian
  • Round Rock, TX
  • NPI 1861814154
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1689260275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 ENTRADA WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811740",
            "telephone_number": "732-429-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ENTRADA WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811740",
            "telephone_number": "732-429-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DHARTI",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "732-429-2886",
        "authorized_official_credential": "RD, CLT"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toia Cocoa Reid
• Steven Reinlie, D.C.
• William J. Reitmeyer, M.D.
• Relax and Ride Texas LLC
• Reliable Solutions LLC
• Renal Treatment Centers Southeast LP
• Michael A Rende, OT
• Lindsey M. Rendon, FNP-C
• Amanda Hope Reneau, PT
• Taylor Melissa Reneau, APN

• Renal Nutrition Registered Dietitian in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Renal Nutrition Registered Dietitian in Texas

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