Patty Berry Rd, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PATTY BERRY RD, LLC

Practice address

3006 Bee Caves Rd Ste D-208
Austin, TX 78746-5588

Phone

(512) 375-3210

NPI assigned

Oct 27, 2016

Organization subpart

No

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

Authorized official

Name

Katie Hunter

Title

Customer Service Lead/Healthy Bytes

Phone

(844) 473-2455

Specialties & licenses 1

Addresses

Other names 1

• Patricia A Berry Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Juenger, RD

  • Registered Dietitian
  • La Jolla, CA
  • NPI 1194256909

  Dietitian, Registered

  NPD (past)
• Amy Trendel, RD

  • Registered Dietitian
  • San Diego, CA
  • NPI 1184499386

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1972055739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD STE D-208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "512-375-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD STE D-208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "512-375-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTY BERRY RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CUSTOMER SERVICE LEAD/HEALTHY BYTES",
        "authorized_official_telephone_number": "18444732455"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia A Berry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hailey Marguerite Patton, DDS
• Lorraine Patton, SLP-CCC
• Robert Michael Patton, D.M.D.
• Sherry Brokus Patton, MA LPC
• Zachary D Patton, LCSW
• Karunakara Paturu, M.D.
• Payal Patwa, PHARMD
• Meena Patyal
• Olivia Patz, BCBA
• Joanna Patzek, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.