Individual provider Active NPI

Angelica G Tapia, RD, LD

  • Registered Dietitian
  • Fort Worth, TX
National Provider Identifier
1801034871
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT80472 Issued in TX
Practice address
1250 8TH Ave Ste 135
Fort Worth, TX 76104-4156
Phone
(817) 923-8050
Fax
(817) 920-0562
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X DT080472 TX
Registered Dietitian 133V00000X DT80472 TX Primary

Addresses

Primary practice location

1250 8TH Ave Ste 135
Fort Worth, TX 76104-4156

Mailing address

912 S. Ervay St
Third Floor Room 307
Dallas, TX 75201-6420
Phone (972) 794-4569

Other practice location 1

911 N Morocco Ave
Dallas, TX 75211-1249
Phone (972) 794-4569

Other identifiers 1

IdentifierTypeStateIssuer
DT080472OtherTXMEDICAL LICENSE

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

State licenses

LicenseStateTypeSpecialty
DT80472TXMDRegistered Dietitian
DT080472TXMDRenal Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Project Kids-Eci Dallas Independent School District 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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1801034871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S. ERVAY ST",
            "address_2": "THIRD FLOOR ROOM 307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016420",
            "telephone_number": "972-794-4569",
            "fax_number": "972-794-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 135",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044156",
            "telephone_number": "817-923-8050",
            "fax_number": "817-920-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 N Morocco Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752111249",
            "country_code": "US",
            "telephone_number": "972-794-4569",
            "fax_number": "972-794-4573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "ANGELICA",
        "middle_name": "G",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT080472",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DT080472",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.