North Texas Nutrition Consultants

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT82634 Issued in TX

Legal business name

NORTH TEXAS NUTRITION CONSULTANTS

Practice address

106 Austin Ave Ste 107
Weatherford, TX 76086-3381

Phone

(817) 629-0420

Fax

(817) 776-8150

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Jonathan Shane Clack, RD

Title

President/Registered Dietitian

Phone

(817) 629-0420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1720432594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TERRY TRL",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 AUSTIN AVE STE 107",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760863381",
            "telephone_number": "817-629-0420",
            "fax_number": "817-776-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS NUTRITION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "CLACK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "817-629-0420",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew O'Bryant, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.