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ANTONIO MIRANDA PHD RD LD CDCES NPI 1861955254


NPI Information

NPI: 1861955254
Provider Name: ANTONIO MIRANDA, PHD, RD, LD, CDCES
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
11801 SOUTH FREEWAY
FORT WORTH, TX
ZIP 76115
Phone: (817) 551-2706
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Antonio Miranda, PHD, RD, LD, CDCES is a dietitian registered in Fort Worth, TX. The provider is 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. Antonio Miranda, PHD, RD, LD, CDCES NPI is 1861955254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11801 SOUTH FREEWAY
FORT WORTH, TX
ZIP 76115
Phone: (817) 551-2706
Fax: (817) 551-2570

The enumeration date for this NPI number is 4/11/2019 and was last updated on 4/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredDT85363TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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