MEDICARE: RHONDA MICHELLE BACCHERINI RD LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DT06398	TX
2	133VN1005X	Renal Nutrition Registered Dietitian	DT06398	TX

General Provider Information

NPI Number	:	1043835325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA MICHELLE BACCHERINI RD LD

Provider Business Mailing Address
First Line	:	12517 AUTUMN LEAVES TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-1139
Country	:	US
Telephone Number	:	817-705-6017
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 HERITAGE TRACE PKWY STE 312
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-8904
Country	:	US
Telephone Number	:	817-993-6516
Fax Number	:	817-562-4467

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	06/11/2020

Similar Medicare Providers

1932116902 — NISHANT B JALANDHARA MD
Practice Location Address:

4420 HERITAGE TRACE PKWY STE 312
FORT WORTH, TX
76244-8904

Practice Phone: 817-877-5858
Practice Fax:

1962544395 — DR. SHEILA BIRTH-ORTHODONTICS-KELLER, LLC
Practice Location Address:

4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX
76244-8904

Practice Phone: 817-348-0910
Practice Fax:

1356683338 — DRS. BIRTH & FLETCHER -ORTHODONTICS, P.L.L.C.
Practice Location Address:

4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX
76244-8904

Practice Phone: 817-479-0541
Practice Fax:

1073959631 — USRC KELLER LLC
Practice Location Address:

4420 HERITAGE TRACE PKWY , SUITE 312
FORT WORTH, TX
76244-8904

Practice Phone: 817-993-6516
Practice Fax: 817-562-4467

1053743518 — BIRTH FLETCHER ORAL SURGERY KELLER
Practice Location Address:

4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX
76244-8904

Practice Phone: 817-479-0541
Practice Fax:

1023582368 — BF ORTHODONTICS PLLC
Practice Location Address:

4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX
76244-8904

Practice Phone: 817-348-0910
Practice Fax:

Directions to “ RHONDA MICHELLE BACCHERINI RD LD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.