DAYSY BUSTAMANTE RD
NPI 1437936200
Dietitian, Registered in Fort Worth, TX

Active since September 13, 2023
101 SUMMIT AVE STE 907, FORT WORTH, TX 76102(469) 372-2022(833) 290-5413 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daysy Bustamante Rd NPPES

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

DAYSY BUSTAMANTE RD (NPI 1437936200) is an individual dietitian, registered in Fort Worth, Texas and active in the NPI registry since September 2023. She maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1437936200
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDAYSY BUSTAMANTECredential: RD
Location Address101 SUMMIT AVE STE 907Fort Worth, TX 76102-2613
Mailing Address17060 Dallas Pkwy Ste 112Dallas, TX 75248-1905 · (469) 372-2022 · Fax (833) 290-5413
Fax(833) 290-5413
Sole ProprietorNo
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1437936200 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.
101 SUMMIT AVE STE 907, Fort Worth, TX 76102

Secondary Practice Location 1

Location 117060 Dallas Pkwy Ste 112Dallas, TX 75248-1905 · Phone (469) 372-2022 · Fax (833) 290-5413

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daysy Bustamante Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Daysy Bustamante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
17060 DALLAS PKWY STE 112
Dallas, TX 75248
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
101 SUMMIT AVE STE 907
FORT WORTH, TX 76102
Dietitian, Registered
101 SUMMIT AVE STE 907
FORT WORTH, TX 76102
Dietitian, Registered
101 SUMMIT AVE STE 907
FORT WORTH, TX 76102
Dietitian, Registered
101 SUMMIT AVE STE 907
FORT WORTH, TX 76102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daysy Bustamante's NPI number?

The NPI number for Daysy Bustamante is 1437936200. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Daysy Bustamante located?

Daysy Bustamante practices at 101 Summit Ave Ste 907, Fort Worth, TX 76102. The listed phone number is (469) 372-2022.

What is Daysy Bustamante's specialty?

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

Is Daysy Bustamante enrolled in Medicare?

Yes. Daysy Bustamante is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daysy Bustamante's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daysy Bustamante reassigns Medicare benefits to Doherty Nutrition LLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daysy Bustamante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daysy Bustamante accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Daysy Bustamante as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daysy Bustamante was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.