Individual provider Active NPI

Ayesha Sajjad

  • Registered Dietitian
  • McKinney, TX
National Provider Identifier
1821814922
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
6500 Palo Alto St
McKinney, TX 75070-1279
Phone
(469) 207-8419
NPI assigned
Nov 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X TX Primary

Addresses

Primary practice location

6500 Palo Alto St
McKinney, TX 75070-1279

Mailing address

6500 Palo Alto St
McKinney, TX 75070-1279
Phone (469) 207-8419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416003885 TX Practitioner - Registered Dietitian Or Nutrition Professional 2264908243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 Emily Diamond Way
Covington, LA 70433-2674

539 W Commerce St
Dallas, TX 75208-1953

6500 Palo Alto St
McKinney, TX 75070-1279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1821814922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 PALO ALTO ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701279",
            "telephone_number": "469-207-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 PALO ALTO ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701279",
            "telephone_number": "469-207-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJAD",
        "first_name": "AYESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.