Starla Gail McIntosh, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Warren, TX
NPI 1942967732 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1942967732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT05738 (TX)
- Practice address
- 4928 FM 2827 Rd
Warren, TX 77664-8125 - Phone
- (409) 659-8353
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT05738 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT05738 | TX | Yes |
Addresses
Primary practice location
4928 FM 2827 Rd
Warren, TX 77664-8125
Mailing address
4928 FM 2827 Rd
Warren, TX 77664-8125
Phone (409) 659-8353
Other providers in Warren, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.