DEEYA MARY HAGEN BAIN, R.D. — NPI 1396757068 (Licensed & Credentialed Dietary & Nutritional Service Providers

CMS-1500 Box 24J / 33a • NPI

1396757068

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

133V00000X (CMS 71)

Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered

Box 32 Service Location & ZIP+4

1201 E 9TH ST, BONHAM, TX, 75418-4059

✓ 9-Digit EDI 837 ZIP+4 (75418-4059)

Practice Phone & Referral Fax

(903) 583-1334

Fax: (903) 583-6449

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396757068 (DEEYA MARY HAGEN BAIN, R.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396757068` (NPI-1 Individual Practitioner)
Provider / Legal Name	DEEYA MARY HAGEN BAIN, R.D.
Plain-English Specialty	Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered NUCC Code: `133V00000X` (Dietitian, Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1201 E 9TH ST, BONHAM, TX, 75418-4059
Practice Telephone / Fax	Tel: (903) 583-1334 \| Fax: (903) 583-6449
Administrative Mailing Address	5301 BELLO VISTA DR, SHERMAN, TX, 75090-9285
Enumeration & Last Sync	Enumerated: 2006-08-12 \| CMS Record Updated: 2013-09-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1201 E 9TH ST, BONHAM, TX, 75418-4059

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Plain-English Taxonomy & CMS Crosswalk (133V00000X)

What Does Taxonomy Code 133V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133V00000X translates to:
"Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 71 (Registered Dietitian or Nutrition Professional)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dietitian, Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DEEYA MARY HAGEN BAIN, R.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: N/A \| License: `658274` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DEEYA MARY HAGEN BAIN, R.D. (NPI #1396757068)