Provider Demographics
NPI:1972168151
Name:BATES, NATASHIA P (RDN, LD)
Entity type:Individual
Prefix:MISS
First Name:NATASHIA
Middle Name:P
Last Name:BATES
Suffix:
Gender:
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 THE STATION BLVD APT 4401
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-4153
Mailing Address - Country:US
Mailing Address - Phone:214-662-2231
Mailing Address - Fax:
Practice Address - Street 1:5300 THE STATION BLVD APT 4401
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-4153
Practice Address - Country:US
Practice Address - Phone:214-662-2231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-03
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT88541133NN1002X, 133V00000X
MSD1706133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education