Ms Detria Latasha Branch, MS, RDN, RHNC is a medicare enrolled "Dietitian, Registered" provider in El Paso, Texas. She graduated from healthcare school in 2007 and has 19 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Keepcare Llc and her current practice location is
10208 Bon Aire Dr, El Paso, Texas. You can reach out to her office (for appointments etc.) via phone at
(888) 474-4486.
Ms Detria Latasha Branch is licensed to practice in Texas (license number DT88116) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790300259.
Healthcare Provider's Profile
| Full Name | Ms Detria Latasha Branch |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 19 Years |
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| Location | 10208 Bon Aire Dr, El Paso, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Detria Latasha Branch graduated from medical school in 2007
NPI Data:
- NPI Number: 1790300259
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 06/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507356268
- Enrollment ID: I20251111000160
Medical Identifiers
Medical identifiers for Ms Detria Latasha Branch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790300259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | LD2023085 (New Mexico) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 261QG0250X | Clinic/center - Genetics | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | DT88116 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Keepcare Llc | 3375069420 | 10 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Detria Latasha Branch is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Detria Latasha Branch, MS, RDN, RHNC
10208 Bon Aire Dr,
El Paso, TX 79924-2936
Ph: (505) 417-0036 | Ms Detria Latasha Branch, MS, RDN, RHNC
10208 Bon Aire Dr,
El Paso, TX 79924-2936
Ph: (888) 474-4486 |
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