| Practical Nutrition Llc | |
|
2911 Medlin Dr, Arlington, TX 76015-2330 | |
| (575) 644-3568 | |
| Not Available |
| Full Name | Practical Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2911 Medlin Dr, Arlington, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972077519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Heather Di Stefano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003067075 PECOS PAC ID: 7214262104 Enrollment ID: I20190715002810 |
| Provider Name | Meredith Pellegrini |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083178511 PECOS PAC ID: 5193151942 Enrollment ID: I20201201002349 |
| Provider Name | Melissa Nieves |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073729778 PECOS PAC ID: 6002917093 Enrollment ID: I20211223000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Nutrition Llc 5504 Archwood Ln, Arlington, TX 76017-0546 Ph: (575) 644-3568 | Practical Nutrition Llc 2911 Medlin Dr, Arlington, TX 76015-2330 Ph: (575) 644-3568 |
Denice Taylor, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 W Randol Mill Rd, Arlington, TX 76012 Phone: 817-548-6100 | |
Rachel Smith, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1211 Doubles Dr Apt 1004, Arlington, TX 76017 Phone: 540-292-6906 | |
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 |