Organization Active NPI

Preventative Nutrition Specialists

  • Registered Dietitian
  • Bryan, TX
National Provider Identifier
1861896441
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PREVENTATIVE NUTRITION SPECIALISTS
Practice address
2110 E Villa Maria Rd
Bryan, TX 77802-2542
Phone
(979) 353-1126
Fax
(979) 530-9551
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Jessianna R Saville, M.S., R.D., L.D.,
Title
Owner
Phone
(979) 353-1126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary
Renal Nutrition Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133VN1005X

Addresses

Primary practice location

2110 E Villa Maria Rd
Bryan, TX 77802-2542

Mailing address

PO Box 2238
Bryan, TX 77806-2238
Phone (979) 353-1126

National Provider Directory

National Provider Directory

Locations

7500 Rialto Blvd
Ofc
Austin, TX 78735
Phone (888) 512-1673

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1861896441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2238",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778062238",
            "telephone_number": "979-353-1126",
            "fax_number": "979-530-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022542",
            "telephone_number": "979-353-1126",
            "fax_number": "979-530-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVE NUTRITION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "SAVILLE",
        "authorized_official_first_name": "JESSIANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-353-1126",
        "authorized_official_credential": "M.S., R.D., L.D.,"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.