Active NPI
Christina Ann Strudwick
- Registered Dietitian
- Dallas, TX
National Provider Identifier
1700121548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT18374
- Practice address
- 3369 Blackburn St
#2303
Dallas, TX 75204-1524 - Phone
- (972) 965-5393
- NPI assigned
- Dec 5, 2012
- 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 | DT18374 | TX | Primary |
Addresses
Primary practice location
3369 Blackburn St
#2303
Dallas, TX 75204-1524
Mailing address
3369 Blackburn St
#2303
Dallas, TX 75204-1524
Phone (972) 965-5393
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 |
|---|---|---|---|
| DT18374 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebalanced Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1700121548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3369 BLACKBURN ST",
"address_2": "#2303",
"city": "DALLAS",
"state": "TX",
"postal_code": "752041524",
"telephone_number": "972-965-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3369 BLACKBURN ST",
"address_2": "#2303",
"city": "DALLAS",
"state": "TX",
"postal_code": "752041524",
"telephone_number": "972-965-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUDWICK",
"first_name": "CHRISTINA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT18374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.