DOHERTY NUTRITION LLC
NPI 1326502832
Dietitian, Registered in Dallas, TX

Q: What is Doherty Nutrition LLC's NPI number?

The NPI number for Doherty Nutrition LLC is 1326502832. It was assigned to this organization in the NPPES registry on January 29, 2019.

Q: What is Doherty Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since January 29, 2019

17060 DALLAS PKWY STE 112, DALLAS, TX 75248(469) 372-2022(833) 290-5413 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2024, Jun 12, 2023, Aug 14, 2022 and 3 more (6 updates tracked since 2019).

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About Doherty Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOHERTY NUTRITION LLC (NPI 1326502832) is a healthcare organization registered as a dietitian, registered in Dallas, Texas and active in the NPI registry since January 2019. The organization maintains 4 additional practice locations and lists Krista Wyatt, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1326502832

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameDOHERTY NUTRITION LLC

Location Address17060 DALLAS PKWY STE 112Dallas, TX 75248-1905

Mailing Address17060 Dallas Pkwy Ste 112Dallas, TX 75248-1905 · (469) 372-2022 · Fax (833) 290-5413

Phone(469) 372-2022

Fax(833) 290-5413

Organization SubpartNo

Authorized OfficialKrista WyattOperations Manager · (469) 372-2022

Enumeration DateJanuary 29, 2019

Last NPPES UpdateMarch 7, 20246 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1326502832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

17060 DALLAS PKWY STE 112, Dallas, TX 75248

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Secondary Practice Locations 4

Location 1650 Warrenville Rd Ste 100Lisle, IL 60532-4315 · Phone (847) 318-3013 · Fax (833) 290-5413

Location 2901 S Mopac Expy Ste 300Austin, TX 78746-5883 · Phone (737) 212-9290 · Fax (833) 290-5413

Location 3101 Summit Ave Ste 907Fort Worth, TX 76102-2613 · Phone (817) 438-8044 · Fax (833) 290-5413

Location 4771 E Southlake Blvd Ste 106Southlake, TX 76092-6354 · Phone (469) 372-2022 · Fax (833) 290-5413

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doherty Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 21 clinicians reassign Medicare billing to Doherty Nutrition LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address. Listed here are the 20 practicing nearest to this location.