Active NPI
Taylor Monsour Carlisi, MS, RDN, LD
- Registered Dietitian
- Richardson, TX
National Provider Identifier
1790540797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT88158
- Practice address
- 627 Lockwood Dr
Richardson, TX 75080-5604 - Phone
- (713) 454-9724
- NPI assigned
- Feb 19, 2024
- 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 | DT88158 | TX | Primary |
Addresses
Primary practice location
627 Lockwood Dr
Richardson, TX 75080-5604
Mailing address
627 Lockwood Dr
Richardson, TX 75080-5604
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT88158 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1790540797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 LOCKWOOD DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 LOCKWOOD DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805604",
"telephone_number": "713-454-9724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISI",
"first_name": "TAYLOR",
"middle_name": "MONSOUR",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.