P Praxis·MD
● Active Type 1 · Individual

MRS. Jequithia L Sims, NDTR

Dietetic Technician, Registered·Grand Prairie, TX· NPI 1104629617 · Enumerated 2025 · 1 years on NPI
Sims is 1 of 1 dietetic technician, registered providers in Grand Prairie and 1 of 10 in Texas.
NPI age
1 years
Enumerated 2025-03-31
Primary specialty
Dietetic Technician, Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 10 active dietetic technician, registered providers in Texas.

NPI age
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Practice location
2952 Trail Lake Dr
Grand Prairie, TX 750545570
📞 2146877203
Mailing address
2952 Trail Lake Dr
Grand Prairie, TX 750545570
📞 2146877203

Specialties

  • Dietetic Technician, Registered Primary
    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...
    TX license #86170507 taxonomy 136A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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