Active NPI
Full Circle Nutrition
- Registered Dietitian
- Denton, TX
National Provider Identifier
1700028545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80889
- Legal business name
- FULL CIRCLE NUTRITION
- Practice address
- 721 N Locust St
Denton, TX 76201-2950 - Phone
- (940) 380-8780
- Fax
- (940) 380-8788
- NPI assigned
- Mar 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lora Williams, MS,RD,LD
- Title
- Owner/Dietitian
- Phone
- (940) 380-8780
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80889 | TX | Primary |
Addresses
Primary practice location
721 N Locust St
Denton, TX 76201-2950
Mailing address
721 N Locust St
Denton, TX 76201-2950
Phone (940) 380-8780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283593602 | Medicaid | TX | |
| 283593601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
721 N Locust St
Denton, TX 76201
Phone (940) 380-8780
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Fort Worth, TX
- NPI 1285174524
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1700028545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N LOCUST ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762012950",
"telephone_number": "940-380-8780",
"fax_number": "940-380-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N LOCUST ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762012950",
"telephone_number": "940-380-8780",
"fax_number": "940-380-8788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-25",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LORA",
"authorized_official_title_or_position": "OWNER/DIETITIAN",
"authorized_official_telephone_number": "940-380-8780",
"authorized_official_credential": "MS,RD,LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283593602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283593601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.