Doherty Nutrition LLC
NPI 1326502832 · Registered Dietitian · Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Doherty Nutrition LLC is a Registered Dietitian organization in Dallas, TX (NPI 1326502832).
Provider details
- NPI number
- 1326502832
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Krista Wyatt, Operations Manager(469) 372-2022
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 650 Warrenville Rd Ste 100Lisle, IL 60532-4315Phone: (847) 318-3013Fax: (833) 290-5413
- 901 S Mopac Expy Ste 300Austin, TX 78746-5883Phone: (737) 212-9290Fax: (833) 290-5413
- 101 Summit Ave Ste 907Fort Worth, TX 76102-2613Phone: (817) 438-8044Fax: (833) 290-5413
- 771 E Southlake Blvd Ste 106Southlake, TX 76092-6354Phone: (469) 372-2022Fax: (833) 290-5413
Registry dates
- Enumerated
- 2019-01-29
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Doherty Nutrition LLC's NPI number?
- Doherty Nutrition LLC's National Provider Identifier (NPI) is 1326502832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Doherty Nutrition LLC?
- Doherty Nutrition LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Doherty Nutrition LLC located?
- Doherty Nutrition LLC's practice location on file with NPPES is 17060 Dallas Pkwy Ste 112, Dallas, TX 75248-1905.
- What is Doherty Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Doherty Nutrition LLC is (469) 372-2022.
- Does Doherty Nutrition LLC accept Medicare?
- Doherty Nutrition LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Doherty Nutrition LLC?
- The authorized official listed on Doherty Nutrition LLC's NPPES record is Krista Wyatt, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Doherty Nutrition LLC's NPI active?
- Yes — Doherty Nutrition LLC's NPI (1326502832) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.