Individual provider Active NPI

Lena E. Harris-Wilson, R.D., L.D.

  • Registered Dietitian
  • Plano, TX
National Provider Identifier
1760690895
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT80232 Issued in TX
Practice address
1600 Coit Rd
Suite # 107
Plano, TX 75075-6174
Phone
(972) 867-9507
Fax
(972) 867-9527
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DT80232 TX Primary

Addresses

Primary practice location

1600 Coit Rd
Suite # 107
Plano, TX 75075-6174

Mailing address

3306 Wendover CT
Richardson, TX 75082-3248
Phone (972) 238-0904

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT80232TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760690895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 WENDOVER CT",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823248",
            "telephone_number": "972-238-0904",
            "fax_number": "469-633-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD",
            "address_2": "SUITE # 107",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756174",
            "telephone_number": "972-867-9507",
            "fax_number": "972-867-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-WILSON",
        "first_name": "LENA",
        "middle_name": "E.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.