Active NPI
Whitness Nutrition
- Registered Dietitian
- Dallas, TX
National Provider Identifier
1750139366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WHITNESS NUTRITION
- Practice address
- 3795 Vinecrest Dr
Dallas, TX 75229-3930 - Phone
- (360) 840-5880
- NPI assigned
- May 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isaac Shepherd
- Title
- Billing Manager
- Phone
- (214) 883-0048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3795 Vinecrest Dr
Dallas, TX 75229-3930
Mailing address
3795 Vinecrest Dr
Dallas, TX 75229-3930
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722038400000",
"number": "1750139366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3795 VINECREST DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752293930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3795 VINECREST DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752293930",
"telephone_number": "360-840-5880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITNESS NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-08",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A",
"authorized_official_last_name": "SHEPHERD",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "214-883-0048"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.