Deanna Ford, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3410 Far West Blvd Ste 100
Austin, TX 78731-3187

Phone

(512) 717-9775

Fax

(512) 599-5034

NPI assigned

Sep 21, 2018

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deanna Ford Nutrition & Wellness, LLC

  • Registered Dietitian
  • Cedar Park, TX
  • NPI 1164208849

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1790269066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313187",
            "telephone_number": "512-717-9775",
            "fax_number": "512-599-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313187",
            "telephone_number": "512-717-9775",
            "fax_number": "512-599-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 Red Bird Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786135464",
            "country_code": "US",
            "telephone_number": "512-507-9029",
            "fax_number": "512-503-3046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "DEANNA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Gregor Forbes, DC
• Stephanie Shawn Forbes, D.C.
• Rachael Smyers Forbis
• Julianne M. Forcier, M.S., L.AC.
• Andrew Gray Ford
• Elizabeth Ford, LCSW
• Jennifer Ford, PHARM.D.
• Kelsey Blake Ford
• Michele Patterson Ford, PH.D.
• Natalie Noel Ford, RN

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.