Active NPI
The Diabetes Dietitian
Doing business as Balance Diabetes Wellness
- Registered Dietitian
- Arlington, TX
National Provider Identifier
1790547941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- THE DIABETES DIETITIAN
- Doing business as
- Balance Diabetes Wellness
- Practice address
- 612 East Lamar Blvd
Arlington, TX 76011 - Phone
- (940) 441-2430
- NPI assigned
- Jan 24, 2024
- Last updated
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelsie Patterson, RDN, LD, CDCES
- Title
- Founder/Ceo
- Phone
- (940) 441-2430
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary | |
| Diabetes Educator Registered Nurse | 163WD0400X | NU |
Addresses
Primary practice location
612 East Lamar Blvd
Arlington, TX 76011
Mailing address
534 Christian Way
Azle, TX 76020-5493
Phone (940) 441-2430
Other names 1
- Balance Diabetes Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Joshua, TX
- NPI 1841727989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1790547941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 CHRISTIAN WAY",
"city": "AZLE",
"state": "TX",
"postal_code": "760205493",
"telephone_number": "940-441-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 EAST LAMAR BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76011",
"telephone_number": "940-441-2430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DIABETES DIETITIAN",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "KELSIE",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "940-441-2430",
"authorized_official_credential": "RDN, LD, CDCES"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balance Diabetes Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.