Active NPI
Nutrition Therapy and Wellness, LLC
- Registered Dietitian
- Dallas, TX
National Provider Identifier
1912470469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION THERAPY AND WELLNESS, LLC
- Practice address
- 10000 N Central Expy Ste 413B
Dallas, TX 75231-4112 - Phone
- (972) 762-0176
- Fax
- (972) 476-1097
- NPI assigned
- Jan 8, 2019
- 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
- Mrs. Angela Nicole Lovell, MAPC, RDN, LD
- Title
- Owner, Dietitian, Counselor
- Phone
- (972) 762-0176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
10000 N Central Expy Ste 413B
Dallas, TX 75231-4112
Mailing address
9114 Lynbrook Dr
Dallas, TX 75238-2833
Phone (972) 762-0176
Other names 1
- Nutrition Therapy and Wellness
National Provider Directory
National Provider DirectoryLocations
10000 N Central Expy
Ste 413B
Dallas, TX 75231
Phone (972) 762-0176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546905600000",
"number": "1912470469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9114 LYNBROOK DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752382833",
"telephone_number": "972-762-0176",
"fax_number": "972-476-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 N CENTRAL EXPY STE 413B",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314112",
"telephone_number": "972-762-0176",
"fax_number": "972-476-1097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION THERAPY AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A",
"authorized_official_last_name": "LOVELL",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER, DIETITIAN, COUNSELOR",
"authorized_official_telephone_number": "972-762-0176",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MAPC, RDN, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nutrition Therapy and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.