Active NPI
Natalia Casagrande de Mira, RDN, LDN
- Registered Dietitian
- Farmers Branch, TX
National Provider Identifier
1811652373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT85034
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DT85034 | TX | MD | Obesity 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.