Individual provider · Type 1 NPI
Jequithia L. Sims, NDTR
Registered Dietetic Technician · Grand Prairie, TX
Practice location
2952 Trail Lake Dr
Grand Prairie, TX 75054-5570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietetic Technician Primary | 136A00000X | 86170507 (TX) |
Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…
About NPI 1104629617
Jequithia L. Sims, NDTR's National Provider Identifier is 1104629617, issued on Mar 31, 2025. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Mar 31, 2025.