Heather Di Stefano, MS, RD, CSG | |
2911 Medlin Dr, Arlington, TX 76015-2330 | |
(682) 564-2381 | |
(817) 476-6133 |
Full Name | Heather Di Stefano |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2911 Medlin Dr, Arlington, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003067075 | NPI | - | NPPES |
951447 | Other | COMMISSION ON DIETETIC REGISTRATION | |
DT80524 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT80524 (Texas) | Primary |
Provider Name | Practical Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972077519 PECOS PAC ID: 6406181395 Enrollment ID: O20190715002740 |
Mailing Address | Practice Location Address |
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Heather Di Stefano, MS, RD, CSG 3401 State Highway 34 S, Greenville, TX 75402-5128 Ph: (682) 999-5835 | Heather Di Stefano, MS, RD, CSG 2911 Medlin Dr, Arlington, TX 76015-2330 Ph: (682) 564-2381 |
Denice Taylor, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 W Randol Mill Rd, Arlington, TX 76012 Phone: 817-548-6100 | |
Emily Michelle Miller, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6507 S Cooper St, Suite 105, Arlington, TX 76001 Phone: 817-466-9100 Fax: 817-466-9410 | |
Colleen Bewley, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 W Randol Mill Rd, Arlington, TX 76012 Phone: 817-548-6100 | |
Janna Michael, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 W Randol Mill Rd, Arlington, TX 76012 Phone: 817-548-6100 | |
Sarah Wilcox, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2205 Saint Claire Dr, Arlington, TX 76012 Phone: 940-453-3133 | |
Ms. Amanda Grace Cumberledge, RD, LD, CNSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 W Randol Mill Rd, Clinical Nutrition, Arlington, TX 76012 Phone: 817-548-6190 |