Individual provider Active NPI

Dayna Renae McCutchin, BASC, RD, LD

  • Registered Dietitian
  • Lubbock, TX
National Provider Identifier
1740578137
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82028 Issued in TX
Practice address
3502 9TH St Ste 260
Lubbock, TX 79415-5305
Phone
(806) 744-8600
Fax
(806) 744-0072
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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 DT82028 TX Primary

Addresses

Primary practice location

3502 9TH St Ste 260
Lubbock, TX 79415-5305

Mailing address

3502 9TH St Ste 260
Lubbock, TX 79415-5305
Phone (806) 744-8600

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
DT82028TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1740578137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 260",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794155305",
            "telephone_number": "806-744-8600",
            "fax_number": "806-744-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 260",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794155305",
            "telephone_number": "806-744-8600",
            "fax_number": "806-744-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHIN",
        "first_name": "DAYNA",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "BASC, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.