Provider Demographics
NPI:1750151809
Name:SCHWINDT, MONICA (MCN, RD, LD, CDCES)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:SCHWINDT
Suffix:
Gender:F
Credentials:MCN, RD, LD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5541 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-5621
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1855 WESLEY STE A
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-7913
Practice Address - Country:US
Practice Address - Phone:469-300-1392
Practice Address - Fax:469-545-0621
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86081520133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered