Individual provider Active NPI

Bethany Carrasco, MCN, RD, LD, CCTD

  • Registered Dietitian
  • Allen, TX
National Provider Identifier
1720947526
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT89115 Issued in TX
Practice address
945 Stockton Dr Unit 6100
Allen, TX 75013-6158
Phone
(972) 390-7667
NPI assigned
Jan 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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 DT89115 TX Primary

Addresses

Primary practice location

945 Stockton Dr Unit 6100
Allen, TX 75013-6158

Mailing address

15635 Mildred PL Apt 2509
Addison, TX 75001-6889
Phone (432) 251-9255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204004264 TX Practitioner - Registered Dietitian Or Nutrition Professional 0648759126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 Emily Diamond Way
Covington, LA 70433-2674

15635 Mildred PL
Apt 2509
Addison, TX 75001-6887

539 W Commerce St
Dallas, TX 75208-1953

945 Stockton Dr
Unit 6100
Allen, TX 75013-6153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT89115TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rescuemd PLLC CurrentSince Dec 28, 2025 Accepting new patients

Organizations & group practices 1

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": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1720947526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15635 MILDRED PL APT 2509",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016889",
            "telephone_number": "432-251-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 STOCKTON DR UNIT 6100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136158",
            "telephone_number": "972-390-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "BETHANY",
        "credential": "MCN, RD, LD, CCTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.