Organization Active NPI

Nutrition Therapy and Wellness, LLC

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1912470469
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jan 8, 2019

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.