Chandler Brooke Bourff, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85432 Issued in TX

Practice address

5301 Alpha Rd Ste 80-23
Dallas, TX 75240-4355

Phone

(972) 821-9557

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shelby the Rd

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1679106454
  NPD

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1699348219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 ALPHA RD STE 80-23",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404355",
            "telephone_number": "972-821-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ALPHA RD STE 80-23",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404355",
            "telephone_number": "972-821-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURFF",
        "first_name": "CHANDLER",
        "middle_name": "BROOKE",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shelbytherd.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5301 Alpha Rd Ste 80-23",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752404355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Halie Fallon Bounajem, DNAP, CRNA
• John Arthur Bounds III, D.D.S.
• Briand Daniel Bounkeu, M.D.
• Myron Lyle Bouray
• Brooke Nicole Bourbonais, CRNA
• Francis Arthur Bourgeois
• Christina Castrichini Bourland, MD
• Emilia Bourland, MOT, OTR
• John B. Bourland Jr., M.D.
• Jonathan Richard Bourland, PA-C

• Registered Dietitian in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.