EMILY PECK (NPI# 1326405697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326405697 |
| Entity Type | Individual |
| Full Name | EMILY PECK |
| Credential | DTR |
| Practice Address |
1500 Cooper St Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 6828851990 |
| Practice Fax Number | 6828851985 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932372323 | Emily Osborn Peck | Speech-Language Pathologist | 311 Mallard Ln, Sugar Grove, IL 60554-9406 | 2008-04-08 |
| 1881254506 | Emily Nicole Peck | Physical Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2019-06-14 |
| 1881060523 | Emily Peck | Physician Assistant | 425 Medical Dr, Suite 205, Bountiful, UT 84010-4945 | 2015-08-17 |
| 1730595950 | Emily Ann Peck | Counselor | 200 24th St, Richmond, CA 94804-1804 | 2014-07-08 |
| 1760771935 | Emily Peck | Marriage & Family Therapist | 46 W Avon Rd, Avon, CT 06001-3679 | 2011-03-28 |
| Street Address |
1500 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747653 | Luciana Rochetti | Physician Assistant | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-08-15 |
| 1821696493 | Leekelli Kennedy | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-10-15 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1497389126 | Chelsea Barrow | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-03-03 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1508416629 | Christa Standefer | Family Medicine | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1972153112 | Alexis Courtney | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1366099376 | Haley Tullos | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-23 |
| 1538716139 | Amanda Rae Macdonald | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-20 |
| 1730731498 | Erin Walkley | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273775 | Eric Von Runnels | Dietetic Technician, Registered | 4218 Leighann Lane Dr, Houston, TX 77047-6780 | 2020-07-24 |
| 1679105514 | Blake M Herron | Dietetic Technician, Registered | 300 Pecore St Apt 21, Houston, TX 77009-6247 | 2020-02-09 |
| 1669952990 | Priscilla Ann Askew | Dietetic Technician, Registered | 3025 Roxboro Rd, Euless, TX 76039-4055 | 2018-08-16 |
| 1922641034 | Mallory Patricia Bobzien | Dietetic Technician, Registered | 9301 N Central Expy Ste 685, Dallas, TX 75231-0816 | 2019-10-21 |
| 1568714269 | Nutrition In Action | Dietetic Technician, Registered | 9400 N. Central Expressway, Suite 402, Dallas, TX 75231 | 2012-10-05 |
| 1417241175 | Carolyn Wyly | Dietetic Technician, Registered | 2620 Tanglewilde St, Houston, TX 77063-3203 | 2011-05-30 |
| 1689706392 | Oliva Olivarez | Dietetic Technician, Registered | 1504 Taub Loop, Houston, TX 77030-1608 | 2007-03-09 |
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on EMILY PECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.