Active NPI
Tracy Rose Davis, R.D.
- Registered Dietitian
- Port Aransas, TX
National Provider Identifier
1962804344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81222
- Practice address
- 627 N Palimino Dr
Port Aransas, TX 78373-6000 - Phone
- (361) 443-4084
- NPI assigned
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT81222 | TX | Primary |
Addresses
Primary practice location
627 N Palimino Dr
Port Aransas, TX 78373-6000
Mailing address
PO Box 1404
Port Aransas, TX 78373-1404
Phone (361) 443-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1962804344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1404",
"city": "PORT ARANSAS",
"state": "TX",
"postal_code": "783731404",
"telephone_number": "361-443-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 N PALIMINO DR",
"city": "PORT ARANSAS",
"state": "TX",
"postal_code": "783736000",
"telephone_number": "361-443-4084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TRACY",
"middle_name": "ROSE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Aransas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.