Nutritious Concepts LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80546 Issued in TX

Legal business name

NUTRITIOUS CONCEPTS LLC

Practice address

15922 Eldorado Pkwy
Ste 500-925
Frisco, TX 75035

Phone

(972) 379-8832

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Rubi S Anjum, RDN, LD

Title

Registered Dietitian

Phone

(972) 379-8832

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1942798491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15922 ELDORADO PKWY",
            "address_2": "STE 500-925",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358783",
            "telephone_number": "972-379-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15922 ELDORADO PKWY",
            "address_2": "STE 500-925",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-379-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIOUS CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "ANJUM",
        "authorized_official_first_name": "RUBI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "972-379-8832",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.