Individual provider Active NPI

Carri Leigh Bearg, R.D., L.D.

  • Registered Dietitian
  • Allen, TX
National Provider Identifier
1790192896
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81905 Issued in TX
Practice address
550 S Watters Rd
Allen, TX 75013-5223
Phone
(972) 658-2737
Fax
(469) 613-0859
NPI assigned
Jul 21, 2014
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X TX
Registered Dietitian 133V00000X DT81905 TX Primary

Addresses

Primary practice location

550 S Watters Rd
Allen, TX 75013-5223

Mailing address

3809 Camino Dr
Plano, TX 75074-3445
Phone (972) 658-2737

Other identifiers 1

IdentifierTypeStateIssuer
DT81905OtherTXREGISTERED 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

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1790192896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 CAMINO DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743445",
            "telephone_number": "972-658-2737",
            "fax_number": "469-613-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WATTERS RD",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135223",
            "telephone_number": "972-658-2737",
            "fax_number": "469-613-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARG",
        "first_name": "CARRI",
        "middle_name": "LEIGH",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "DT81905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.