Nicaela Durelle Havala, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86109 Issued in TX

Practice address

5301 Alpha Rd Ste 80-23
Dallas, TX 75240-4355

Phone

(972) 821-9557

Fax

(972) 525-4731

NPI assigned

Sep 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shelby the Rd

  dba The Rd Group

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1679106454
  NPD

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1902576135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 ALPHA RD STE 80-23",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404355",
            "telephone_number": "972-821-9557",
            "fax_number": "972-525-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ALPHA RD STE 80-23",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404355",
            "telephone_number": "972-821-9557",
            "fax_number": "972-525-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVALA",
        "first_name": "NICAELA",
        "middle_name": "DURELLE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Haugstad
• Edward Joseph John Hauptmann Jr., MD
• Matthew J Hausenfluke, D.P.M.
• Rebecca Nicole Hauser, DPT
• Sarah Hausner, PHARMD
• Laura Havard, RDN
• Leslie Chin Havemann, M.D.
• Haven Harbor Services of Texas
• Haven Haus II Inc.
• Haven Haus II Inc.

• Registered Dietitian in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.