NPIMap

Organization Active NPI

Nutriphasics, LLC

  • Registered Dietitian
  • Plano, TX
National Provider Identifier
1982917126
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRIPHASICS, LLC
Practice address
400 Chisholm PL Ste 100
Plano, TX 75075-6911
Phone
(972) 422-9180
Fax
(888) 821-2292
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Ali Barrett
Title
Office Manager
Phone
(972) 422-9180

Specialties & licenses 1

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

Addresses

Primary practice location

400 Chisholm PL Ste 100
Plano, TX 75075-6911

Mailing address

400 Chisholm PL Ste 100
Plano, TX 75075-6911
Phone (972) 422-9180

Other identifiers 5

IdentifierTypeStateIssuer
1932591070OtherTXEMILY DUDENSING, RDN, LD
1306293055OtherTXLAUREN MARTIN RDN
1982917126OtherTXGROUP NPI
1609972074OtherTXANGELA LEMOND, RDN, CSP, LD
1013349059OtherTXMELISSA MENDEZ RDN

Other names 1

  • Lemond Nutrition Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180108002080 TX Part B Supplier - Clinic/Group Practice 5991064487 Receives reassigned benefits from 15 practitioners
Practice locations: Plano, TX; Southlake, TX

National Provider Directory

National Provider Directory

Locations

700 E Park Blvd
Plano, TX 75074

700 E Park Blvd
Ste 110
Plano, TX 75074
Phone (972) 422-9180

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1982917126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756911",
            "telephone_number": "972-422-9180",
            "fax_number": "888-821-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756911",
            "telephone_number": "972-422-9180",
            "fax_number": "888-821-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIPHASICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-422-9180"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMILY DUDENSING, RDN, LD",
            "identifier": "1932591070",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAUREN MARTIN RDN",
            "identifier": "1306293055",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1982917126",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANGELA LEMOND, RDN, CSP, LD",
            "identifier": "1609972074",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MELISSA MENDEZ RDN",
            "identifier": "1013349059",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lemond Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lemond Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2025; 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.