ALEXIS MARIE ENDICOTT (NPI# 1366086613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366086613 |
| Entity Type | Individual |
| Full Name | ALEXIS MARIE ENDICOTT |
| Credential | LD |
| Practice Address |
6100 Western Pl Ste 908 Fort Worth TX 76107-4600 |
| Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
| Practice Telephone | 8177517802 |
| Practice Fax Number | 8478595885 |
| Mailing Telephone | 8477378768 |
| Mailing Fax Number | 8478595885 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT86045 | TX | Dietary & Nutritional Service Providers |
| Street Address |
6100 WESTERN PL STE 908 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477834133 | Larry Wayne Carter II | Psychologist | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2011-09-07 |
| 1376151886 | Ashley Inbody | Counselor | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2020-07-21 |
| 1548897895 | Jamie Cranfill | Dietitian, Registered | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2020-03-26 |
| 1811532062 | Cassandra Wilson | Counselor | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2019-11-12 |
| 1326681073 | Zinssou Paul Toviessi | Counselor | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2019-10-25 |
| 1265073449 | Londa Vance | Counselor | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2019-09-30 |
| 1568924710 | Jami Todd | Dietitian, Registered | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2019-04-04 |
| 1366911125 | Melissa Clayton | Counselor | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2018-11-21 |
| 1467937128 | Angelica Trober | Counselor | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2018-09-28 |
| 1922502459 | Lauren Ashley Cambias | Dietitian, Registered | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; 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 Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076396 | Paige M Freeman | Dietitian, Registered | 150 Boland St Apt 409, Fort Worth, TX 76107-1214 | 2020-08-31 |
| 1891321220 | Petra P Rack | Dietitian, Registered | 2601 S University Dr, Fort Worth, TX 76109-1149 | 2020-03-17 |
| 1043865751 | Ngoc Anh Thu Ho | Dietitian, Registered | 2200 W Lowden St Apt 15, Fort Worth, TX 76110-2810 | 2019-08-08 |
| 1346808698 | Baillie Adrian Troskot | Dietitian, Registered | 1401 Ballinger St, Fort Worth, TX 76102-5903 | 2019-06-02 |
| 1275096364 | Teresa L Wagner | Dietitian, Registered | 5841 Recreation Dr Apt 2404, Fort Worth, TX 76109-1068 | 2019-04-08 |
| 1316403595 | Gregory Michael Carr Jr. | Dietitian, Registered | 5000 Cobham Way Apt 325, Fort Worth, TX 76132-6204 | 2019-02-13 |
| 1285131250 | Kaitlin Legler | Dietitian, Registered | 9637 Rosina Trl, Fort Worth, TX 76126-2245 | 2018-04-06 |
| 1295235356 | Meghan Elise Martinson | Dietitian, Registered | 653 Bareback Ln, Fort Worth, TX 76131-3121 | 2018-02-15 |
| 1124547955 | Allie Jo Taschuk | Dietitian, Registered | 2201 Se Loop 820 Rm 2n-121, Fort Worth, TX 76119-5863 | 2017-09-13 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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| 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.