Briana Gattis Baker, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Red Oak, TX
NPI 1972035970 · NPPES record last updated Mar 29, 2017
Key facts
- NPI
- 1972035970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT84748 (TX)
- Practice address
- 220 Bob White Dr
Red Oak, TX 75154-4633 - Phone
- (409) 782-9641
- NPI assigned
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nourish, Inc.
Practice addresses (Care Compare)
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240501002605 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 9830539352 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current |
Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
515 S Flower St
#1015
Los Angeles, CA 90071
250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT84748 | TX | Yes |
Addresses
Primary practice location
220 Bob White Dr
Red Oak, TX 75154-4633
Mailing address
220 Bob White Dr
Red Oak, TX 75154-4633
Phone (409) 782-9641
Other providers in Red Oak, TX
- Autism and Behavioral Therapeutics
- Oluwadamilola Ayanda
- Aycox-Pearson & Associates
- Cherita Bailey
- Brent Wyatt Baker
- Jared Wayne Barker
- Baylor Medical Center at Waxahachie
- Emily Morgan Beck
- Becoming a Better You LLC
- Joseph F Bellomo
All providers in Red Oak, TX · Registered Dietitian in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.