Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paola Isabella Vivar Andrade, RDLD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1508641861

Paola Isabella Vivar Andrade, RDLD is a Pediatric Nutrition Registered Dietitian in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-6299
Fax: (682) 885-1090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT89275 (TX)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X

Record details

NPI number1508641861
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLD
Sole proprietorNo
NPI enumeratedAugust 25, 2023
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

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