Back2basics Functional Nutrition
Nutritionist in Irving, TX. Organization (NPI-2).
NPI number1093662645
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1093662645
- Entity type
- Organization (NPI-2)
- Legal business name
- Back2basics Functional Nutrition
- Organization subpart
- No
- Enumeration date
- Mar 12, 2026
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | – | Yes |
Other names
- Back2basics By Niti (Doing Business As)
Practice location
3365 Regent Blvd Ste 130Irving, TX 75063-3127
Phone 972-514-7956 · Fax 972-366-7946
Mailing address
3365 Regent Blvd Ste 130Irving, TX 75063-3127
Phone 972-514-7956 · Fax 972-366-7946
Authorized official
Niti Shah
Owner
2144542278
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nutritionist providers in Irving, TX
- Toni BookerNPI 1588196695
- Alba Ramirez, LNDNPI 1427201730
- Niti ShahNPI 1144818634
- Ashley Stclair, MS, NTPNPI 1225700511
All 5 Nutritionist providers in Irving · All 5,366 providers in Irving
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