Anita Rose Thedford

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT05212 Issued in TX

Practice address

160 N Oak St
Hemphill, TX 75948-9858

Phone

(318) 581-0301

NPI assigned

Mar 15, 2013

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Anita Rose Thedford Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anita Thedford LLC

  • Registered Dietitian
  • Hemphill, TX
  • NPI 1356781587
  Authorized official Same address or phone

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1740521772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BAYSHORE DR",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759481380",
            "telephone_number": "318-581-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N OAK ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759489858",
            "telephone_number": "318-581-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEDFORD",
        "first_name": "ANITA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "THEDFORD",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "RD/LDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sabine County Hospital District
• Sabine Family Medical Clinic, LLC.
• Bret G Sauer, DDS
• Stillpoint Medical Group P.a.
• Texas Medical Enterprises, Inc
• Valerie Lynn Upshaw, APRN-CNP
• Megan R Walker, LVN
• Gerald Winemiller, APRN
• Winnie-Stowell Hospital District (Hemphill Care Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.