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
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Darice Doorn, RD, LDNPI 1861784852
Title
Owner
Phone
(469) 263-9099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

555 Republic Dr
Suite 200
Plano, TX 75074-5481

Mailing address

555 Republic Dr
Suite 200
Plano, TX 75074-5481

National Provider Directory

National Provider Directory

Locations

712 N High St
Longview, TX 75601
Phone (903) 753-1144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.