Active NPI
Preventative Nutrition Specialists
- Registered Dietitian
- Bryan, TX
National Provider Identifier
1861896441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Renal Nutrition Registered Dietitian | 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 DirectoryLocations
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.
-
- Registered Dietitian
- Austin, TX
- NPI 1215384268
Dietitian, Registered
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.