Tanisha Bodden, RDN., LD.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86919 Issued in TX

Practice address

7365 Crown Meadows Dr
Port Arthur, TX 77642-7354

Phone

(832) 754-9004

NPI assigned

Aug 24, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1831005339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CROWN MEADOWS DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CROWN MEADOWS DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427354",
            "telephone_number": "832-754-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDEN",
        "first_name": "TANISHA",
        "credential": "RDN., LD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Ann Bivens, OTR
• Walisha M. Blackmore, M. ED., LPC-S
• Blended Health LLC
• Susanna Elizabeth Bloss, NP
• Blue Zone Precision Health Medical - Port Arthur, PLLC
• Olayemi Olaoluwa Bolarinwa, MD
• Briana Bollinger, PTA
• David Bradley Bonham Jr., CNP
• Darla Denise Booth, CSFA
• Stephen Bosworth, PTA

• Registered Dietitian in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.