Active NPI
Ivonne Garza, DIETICIAN
- Registered Dietitian
- Brownsville, TX
National Provider Identifier
1780938456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 105 E Alton Gloor Blvd
Brownsville, TX 78526-3391 - Phone
- (956) 831-8338
- NPI assigned
- Nov 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
105 E Alton Gloor Blvd
Brownsville, TX 78526-3391
Mailing address
1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT06825 | Other | TX | LICENSED DIETITIAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | 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": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1780938456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 TREASURE HILLS BLVD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508911",
"telephone_number": "956-365-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E ALTON GLOOR BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785263391",
"telephone_number": "956-831-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "IVONNE",
"credential": "DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN",
"identifier": "DT06825",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.