Jequithia L. Sims, NDTR
NPI 1104629617ActiveIndividual· Dietetic Technician, Registered· Grand Prairie, TX
Dietetic Technician, Registered (NDTR) in Grand Prairie, Texas, licensed in TX, with an NPI issued in March 2025.
Overview
| NPI | 1104629617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NDTR |
| Sole proprietor | Yes |
| NPI issued | Mar 31, 2025 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietetic Technician, Registered Primary | 136A00000X | 86170507 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|