1548854607 NPI number — MRS. BRITTANY GALLES BEAVER MS, RD, LD

Table of content: MRS. BRITTANY GALLES BEAVER MS, RD, LD (NPI 1548854607)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548854607 NPI number — MRS. BRITTANY GALLES BEAVER MS, RD, LD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEAVER
Provider First Name:
BRITTANY
Provider Middle Name:
GALLES
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, RD, LD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548854607
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6615 CRAIGWAY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77389-5250
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-407-6501
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6615 CRAIGWAY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77389-5250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-407-6501
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  DT82668 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DT82668 . This is a "TEXAS DEPARTMENT OF LICENSING & REGULATION - LICENSED DIETITIAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com