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Jessica Reyes, RDN

Dietitian, Registered in Grand Prairie, TX. Individual provider (NPI-1).

NPI number1356852008
StatusActive
Last updated in NPPESOct 21, 2017

Details

NPI
1356852008
Entity type
Individual (NPI-1)
Name
Jessica Reyes
Credential
RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 21, 2017
Last updated
Oct 21, 2017

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 codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredDT84843TXYes

Practice location

835 Sonora Ln
Grand Prairie, TX 75052-3135

Phone 469-544-6655

Mailing address

835 Sonora Ln
Grand Prairie, TX 75052-3135

Phone 469-544-6655

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 Registered Dietitian providers in Grand Prairie, TX

All 16 Registered Dietitian providers in Grand Prairie · All 2,271 providers in Grand Prairie

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