P Praxis·MD
● Active Type 1 · Individual

Stephanie Alyce Olivares, D.T.R. , M.S.

Dietetic Technician, Registered·Dallas, TX· NPI 1528301959 · Enumerated 2013 · 13 years on NPI
Olivares is 1 of 2 dietetic technician, registered providers in Dallas and 1 of 10 in Texas.
NPI age
13 years
Enumerated 2013-04-04
Primary specialty
Dietetic Technician, Registered
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2013-04-04
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
13 years
↑ 4 yr above median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
14330 Midway Rd, Ste 121
Dallas, TX 752443522
📞 9729300260
Mailing address
14330 Midway Rd, Ste 121
Dallas, TX 752443522
📞 9729300260

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...
    taxonomy 136A00000X
  • Nutritionist
    A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals...
    taxonomy 133N00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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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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