Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730638164 Individual Practitioner Female Practitioner

Marie Collins Custead

Dietitian, Registered • Nacogdoches, TX

Professional Overview & Biography Verified Profile Summary

Marie Custead is a registered healthcare professional specializing in Dietitian, Registered in Nacogdoches, TX. Practice services are available at SFA ATHLETIC FIELDHOUSE 712 HAYTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Sfa Athletic Fieldhouse 712 Hayter St

Nacogdoches, TX 759620001

Telephone 9364683506
Fax 9364684052
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Nacogdoches, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
15 Specialists

Practicing in Nacogdoches, TX (5148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT84467

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1568550200

Certified Athletic Trainer, Licensed Athletic Trainer

Gustave Younger , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1770545113

Certified Athletic Trainer, Licensed Athletic Trainer

Jennifer Boynton , MS, RD, LD

Dietitian, Registered

NPI 1790113736

Master of Science, Registered Dietitian, Licensed Dietitian

Alejandro Rodriguez , MS, LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1811417785

Master of Science, Licensed Athletic Trainer, Certified Athletic Trainer

Loree Mccary , ATC, LAT

Physical Medicine & Rehabilitation

NPI 1891000139

Certified Athletic Trainer, Licensed Athletic Trainer

Emily Montana , MS, LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1992259808

Master of Science, Licensed Athletic Trainer, Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2016

Registered at SFA ATHLETIC FIELDHOUSE 712 HAYTER ST, NACOGDOCHES, TX 759620001 (Tel: 9364683506)

📍
Updated Business Mailing Address September 27, 2016

Registered at SFA ATHLETIC FIELDHOUSE 712 HAYTER ST, NACOGDOCHES, TX 759620001 (Tel: 9364683506)

👤
Provider Name / Credentials Updated September 27, 2016

Recorded as MARIE CUSTEAD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2016

Dietitian, Registered (License #DT84467 in TX)

🟢
Initial NPI Registration & Enumeration September 27, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730638164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2016
Last Update: September 27, 2016
Sole Proprietor: No

Mailing Address

Sfa Athletic Fieldhouse 712 Hayter St

Nacogdoches, TX 759620001

Phone: 9364683506

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.