Individual provider Active NPI

Natalia Casagrande de Mira, RDN, LDN

  • Registered Dietitian
  • Farmers Branch, TX
National Provider Identifier
1811652373
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85034 Issued in TX
Practice address
1 Medical Pkwy #149
Farmers Branch, TX 75234
Phone
(972) 484-8444
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT85034 TX Primary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X DT85034 TX
Nutrition Education Nutritionist 133NN1002X DT85034 TX
Metabolic Nutrition Registered Dietitian 133VN1006X DT85034 TX

Addresses

Primary practice location

1 Medical Pkwy #149
Farmers Branch, TX 75234

Mailing address

2005 Devin LN
Lewisville, TX 75067-8966
Phone (972) 484-8444

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

State licenses

LicenseStateTypeSpecialty
DT85034TXMDObesity and Weight Management Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1811652373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 DEVIN LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678966",
            "telephone_number": "972-484-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PKWY #149",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "972-484-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRA",
        "first_name": "NATALIA",
        "middle_name": "CASAGRANDE DE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85034",
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "TX",
            "license": "DT85034",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "DT85034",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT85034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.