Individual provider Active NPI

Priscila Veronica Quevedo, RD

  • Registered Dietitian
  • El Paso, TX
National Provider Identifier
1710619275
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT94406 Issued in TX
Practice address
2270 Joe Battle Blvd Ste E-G
El Paso, TX 79938-2609
Phone
(915) 642-9444
Fax
(915) 800-8570
NPI assigned
Jun 24, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 DT94406 TX Primary

Addresses

Primary practice location

2270 Joe Battle Blvd Ste E-G
El Paso, TX 79938-2609

Mailing address

2270 Joe Battle Blvd Ste E-G
El Paso, TX 79938-2609
Phone (915) 642-9444

Other identifiers 2

IdentifierTypeStateIssuer
86023099OtherTXCOMMISION ON DIETETIC REGISTRATION
DT94406OtherTXTEXAS DEPARTMENT OF LICENSING AND REGULATION

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT94406TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1710619275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE E-G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382609",
            "telephone_number": "915-642-9444",
            "fax_number": "915-800-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE E-G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382609",
            "telephone_number": "915-642-9444",
            "fax_number": "915-800-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEVEDO",
        "first_name": "PRISCILA",
        "middle_name": "VERONICA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT94406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISION ON DIETETIC REGISTRATION",
            "identifier": "86023099",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "DT94406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.