Individual provider Active NPI

Brandy Nicole Salinas, RD

  • Registered Dietitian
  • Edinburg, TX
National Provider Identifier
1972040160
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT83855 Issued in TX
Practice address
5500 Raphael Dr
Edinburg, TX 78539-1407
Phone
(956) 362-5673
Fax
(956) 362-2038
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT83855 TX Primary

Addresses

Primary practice location

5500 Raphael Dr
Edinburg, TX 78539-1407

Mailing address

PO Box 5358
McAllen, TX 78502-5358
Phone (956) 362-5673

Other practice location 1

4770 N Expressway Ste 303
Brownsville, TX 78526-3108
Phone (956) 362-3715

Other identifiers 1

IdentifierTypeStateIssuer
371229101MedicaidTX

Other names 1

  • Ms. Brandy Nicole Rivera Former name

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

State licenses

LicenseStateTypeSpecialty
DT83855TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Gastroenterology PastSince Feb 4, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1972040160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5358",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785025358",
            "telephone_number": "956-362-5673",
            "fax_number": "956-362-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 RAPHAEL DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391407",
            "telephone_number": "956-362-5673",
            "fax_number": "956-362-2038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 N Expressway Ste 303",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785263108",
            "country_code": "US",
            "telephone_number": "956-362-3715",
            "fax_number": "956-362-3716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "BRANDY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371229101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "RIVERA",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.