Back2basics Functional Nutrition
NPI 1093662645ActiveOrganization· Nutritionist· Irving, TX
Nutritionist in Irving, Texas, registered in NPPES in March 2026. The authorized official on file is Niti Shah, Owner.
Overview
| NPI | 1093662645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2026 |
| Last updated in NPPES | Apr 13, 2026 |
| Certified by provider | Apr 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nutritionist providers in Irving
- 1588196695
- 1427201730
- 1144818634
- 1225700511