NPIMap

Organization Active NPI

North Star Nutrition LLC

  • Registered Dietitian
  • Plano, TX
National Provider Identifier
1972859239
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81306 Issued in TX
Legal business name
NORTH STAR NUTRITION LLC
Practice address
555 Republic Dr
Suite 200
Plano, TX 75074-5481
Phone
(469) 263-9099
NPI assigned
Jul 24, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Darice Doorn, RD, LD
Title
Owner
Phone
(469) 263-9099

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT81306 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

555 Republic Dr
Suite 200
Plano, TX 75074-5481

Mailing address

555 Republic Dr
Suite 200
Plano, TX 75074-5481

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2012.

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1972859239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745481",
            "telephone_number": "469-263-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "DOORN",
        "authorized_official_first_name": "DARICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-263-9099",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.