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ANTONIO MIRANDA PHD, RD, LD, CDCES
NPI 1861955254
Dietitian, Registered in Fort Worth, TX

Active since April 11, 2019
11801 SOUTH FREEWAY, FORT WORTH, TX 76115(817) 551-2706(817) 551-2570 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2019, Apr 11, 2019 (2 updates tracked since 2019).

About Antonio Miranda Phd, Rd, Ld, Cdces NPPES

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

ANTONIO MIRANDA PHD, RD, LD, CDCES (NPI 1861955254) is an individual dietitian, registered in Fort Worth, Texas, licensed in Texas (DT85363) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1861955254
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameANTONIO MIRANDACredential: PHD, RD, LD, CDCES
Location Address11801 SOUTH FREEWAYFort Worth, TX 76115
Mailing Address6245 Rufe Snow Drive, Ste 280, Unit 540Fort Worth, TX 76148 · (682) 900-2624 · Fax (817) 527-6610
Phone(817) 551-2706
Fax(817) 551-2570
Sole ProprietorNo
Enumeration DateApril 11, 2019
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1861955254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT85363
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.
11801 SOUTH FREEWAY, Fort Worth, TX 76115
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Other Providers at the Same Location NPPES 3

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

DAVID GLENN TROUTMAN MD
Internal Medicine
11801 SOUTH FREEWAY
FORT WORTH, TX 76115
Tarrant County (817) 293-9110
NATHAN WAGGONER
Physical Therapy Assistant
11801 SOUTH FREEWAY
FORT WORTH, TX 76115
Tarrant County (817) 551-2747
HUGULEY MEMORIAL MEDICAL CENTER
General Acute Care Hospital
11801 SOUTH FREEWAY
FORT WORTH, TX 76115
Tarrant County (817) 293-9110

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 Antonio Miranda's NPI number?

The NPI number for Antonio Miranda is 1861955254. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Antonio Miranda located?

Antonio Miranda practices at 11801 South Freeway, Fort Worth, TX 76115. The listed phone number is (817) 551-2706.

What is Antonio Miranda's specialty?

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

When was this NPI record last updated?

The NPPES record for Antonio Miranda was last updated on April 26, 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.