Active NPI
Bryleigh Moffitt, RD, LD
- Registered Dietitian
- Amarillo, TX
National Provider Identifier
1821847534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT90180
- Practice address
- 1901 Medi Park Dr Ste 222
Amarillo, TX 79106-2107 - Phone
- (806) 670-5075
- Fax
- (806) 216-6707
- NPI assigned
- May 15, 2024
- Last updated
- May 15, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT90180 | TX | Primary |
Addresses
Primary practice location
1901 Medi Park Dr Ste 222
Amarillo, TX 79106-2107
Mailing address
7621 Countryside Dr
Amarillo, TX 79119-6490
Phone (806) 420-1899
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 |
|---|---|---|---|
| DT90180 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assimilate Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
1901 Medi Park Dr
Ste 222
Amarillo, TX 79106
Phone (806) 673-2833
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Panhandle Nutrition Therapy
- Registered Dietitian
- Amarillo, TX
- NPI 1225807829
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1821847534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7621 COUNTRYSIDE DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196490",
"telephone_number": "806-420-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR STE 222",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062107",
"telephone_number": "806-670-5075",
"fax_number": "806-216-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFITT",
"first_name": "BRYLEIGH",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT90180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
- Mobility Specialists Inc (Mobility Solutions of Amirillo)
- Larry James Mobley, PTA
- Moc Amarillo, LLC (Rapid Recovery Center of Amarillo)
- Jake Modery, D.D.S.
- Lillian Jean Moffett, DPT
- Basheer Umar Mohammed, MD
- Sayyidda Fareeaa Mohammed, M.D.
- Balaji Prasad Ellapp Mohanakrishnan, MD
- Karen R Mohn, N.P.
- Khondker Farhana Moin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.