Individual provider Active NPI

Olivia Munger, RD, LD

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1902215478
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82083 Issued in TX
Practice address
2777 N Stemmons Fwy
ST4.04
Dallas, TX 75207-2277
Phone
(214) 676-4140
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT82083 TX Primary

Addresses

Primary practice location

2777 N Stemmons Fwy
ST4.04
Dallas, TX 75207-2277

Mailing address

2777 N Stemmons Fwy
ST4.04
Dallas, TX 75207-2277
Phone (214) 676-4140

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

LicenseStateTypeSpecialty
DT82083TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1902215478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 N STEMMONS FWY",
            "address_2": "ST4.04",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072277",
            "telephone_number": "214-676-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 N STEMMONS FWY",
            "address_2": "ST4.04",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072277",
            "telephone_number": "214-676-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "OLIVIA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.