Active NPI
Jennifer Vanzant, MCN, RD, LD
- Registered Dietitian
- Irving, TX
National Provider Identifier
1881127751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84272
- Practice address
- 683 Cimarron TRL
Irving, TX 75063-6607 - Phone
- (214) 232-3864
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | DT84272 | TX | Primary |
Addresses
Primary practice location
683 Cimarron TRL
Irving, TX 75063-6607
Mailing address
683 Cimarron TRL
Irving, TX 75063-6607
Phone (214) 232-3864
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 |
|---|---|---|---|
| DT84272 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1881127751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "683 CIMARRON TRL",
"city": "IRVING",
"state": "TX",
"postal_code": "750636607",
"telephone_number": "214-232-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "683 CIMARRON TRL",
"city": "IRVING",
"state": "TX",
"postal_code": "750636607",
"telephone_number": "214-232-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANZANT",
"first_name": "JENNIFER",
"credential": "MCN, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.