Active NPI
Afshan Mohammed, RD
- Registered Dietitian
- Mineola, TX
National Provider Identifier
1881266955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 409 Boundry St Unit 101
Mineola, TX 75773-2305 - Phone
- (318) 572-6157
- Fax
- (800) 708-7349
- NPI assigned
- Jul 16, 2021
- Last updated
- Mar 18, 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 | Primary |
Addresses
Primary practice location
409 Boundry St Unit 101
Mineola, TX 75773-2305
Mailing address
409 Boundry St Unit 101
Mineola, TX 75773-2305
Phone (318) 572-6157
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86004029 | Other | TX | CDR |
| DT83048 | Other | TX | RDL |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascleya Corporation | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1881266955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 BOUNDRY ST UNIT 101",
"city": "MINEOLA",
"state": "TX",
"postal_code": "757732305",
"telephone_number": "318-572-6157",
"fax_number": "800-708-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 BOUNDRY ST UNIT 101",
"city": "MINEOLA",
"state": "TX",
"postal_code": "757732305",
"telephone_number": "318-572-6157",
"fax_number": "800-708-7349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED",
"first_name": "AFSHAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "86004029",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RDL",
"identifier": "DT83048",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mineola, TX
- Mineola Independent School District
- Mineola Medical Center PLLC
- Mineola Nursing and Rehab Center (Mineola Healthcare Residence)
- Mineola Senior Living, LLC (Autumn Wind Mineola)
- Anna Rachel Mitchell
- Patricia A Mone, PT
- Amanda Lee Mullins, PTA
- Cynthia Magan Nicholson
- Sarah Michelle Noble, HIS
- Johnny Nutt, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.