FUNCTIONAL DIETETICS OF TEXAS, LLC (NPI# 1760027221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760027221 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL DIETETICS OF TEXAS, LLC |
| Practice Address |
4630 Magnolia Cove Dr Apt 1131 Kingwood TX 77345-2155 |
| Practice Telephone | 2816153708 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | MRS. SARAH MILLARD (MANAGING MEMBER) |
| Authorized Official Telephone | 2816153708 |
| Authorized Official Credential | RDN, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
4630 MAGNOLIA COVE DR APT 1131 |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77345-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959027 | Kathy F. Ward | Dietitian, Registered | 4902 Maple Terrace Dr., Kingwood, TX 77345 | 2020-07-20 |
| 1952894313 | P&b Surgical Solutions Pllc | Surgery | 4542 Windy Hollow Dr, Kingwood, TX 77345 | 2018-06-11 |
| 1952833055 | Kingwood Smiles Dentistry,pc | Dentist | 4521 Kingwood Dr Suite 180, Kingwood, TX 77345 | 2017-03-29 |
| 1568847879 | Med Care To You Management, Inc | Clinic/Center | 4582 Kingwood Drive, Suite E107, Kingwood, TX 77345 | 2015-07-28 |
| 1497067805 | Paula Lorraine Henzl | Pharmacist | 7400 Fm 1960 E, Humble, TX 77345 | 2010-07-14 |
| 1588894463 | Jennifer Foro Pinon | Speech-Language Pathologist | 6211 Redwood Bridge Trl, Kingwood, TX 77345 | 2009-07-25 |
| 1770658999 | Stephanie Anne Miller | Counselor | 301 Us Hwy 59 South Loop, Suite C, Livingston, TX 77345 | 2006-11-22 |
| 1558445031 | Jeffrey Charles Coy | Chiropractor | 3052 Northpark Dr, Kingwood, TX 77345 | 2006-10-24 |
| 1871692459 | Michael T Doyle | Dentist | 4582 Kingwood Dr, Suite F, Kingwood, TX 77345 | 2006-09-21 |
| 1508975939 | H-e-b, Lp | Clinical Medical Laboratory | 4517 Kingwood Drive, Kingwood, TX 77345 | 2006-08-30 |
| Find all providers in zip 77345 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959027 | Kathy F. Ward | Dietitian, Registered | 4902 Maple Terrace Dr., Kingwood, TX 77345 | 2020-07-20 |
| 1366473076 | Theresa Jane Blume | Dietitian, Registered | 22999 Us Highway 59 North, Kingwood, TX 77339 | 2006-07-05 |
| 1851622336 | Lori A Groves | Dietitian, Registered | 300 S Price St, Kingwood, WV 26537-1442 | 2010-01-22 |
| 1225208812 | Joyce Wei Fu | Dietitian, Registered | 22999 Highway 59 N, Kingwood, TX 77339-4412 | 2008-03-10 |
| 1922277490 | Carol Conklin Curtis | Dietitian, Registered | 700 Rockmead Dr, Suite 246, Kingwood, TX 77339-2103 | 2008-02-28 |
| 1861694663 | Jeanne Marie Singer | Dietitian, Registered | 1120 Kingwood Dr, Suite 400, Kingwood, TX 77339-3043 | 2007-06-04 |
| 1427127208 | Marianne Turcios | Dietitian, Registered | 24046 Highway 59 N, Kingwood, TX 77339-1500 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902637 | Allison Kleppe | Dietitian, Registered | 6255 Oram St Apt 106, Dallas, TX 75214-3985 | 2020-11-08 |
| 1326649088 | Mitzie Rojas | Dietitian, Registered | 1805 Aquarena Springs Dr Apt 505, San Marcos, TX 78666-8164 | 2020-11-07 |
| 1912507971 | Wendy Snowden | Dietitian, Registered | 11223 Kingsgate Dr, Austin, TX 78748-3435 | 2020-10-29 |
| 1720687718 | Jordan Wright | Dietitian, Registered | 2900 N Braeswood Blvd Apt 6204, Houston, TX 77025-2367 | 2020-10-20 |
| 1891393062 | Melanie Thomas | Dietitian, Registered | 4722 Pickridge Ct, Fresno, TX 77545-7529 | 2020-10-11 |
| 1073110318 | Mary Elizabeth Santarosa Mahoney | Dietitian, Registered | 1322 Cotulla Dr, Allen, TX 75013-4639 | 2020-10-08 |
| 1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
| 1518564467 | Elizabeth Hill | Dietitian, Registered | 6500 Champion Grandview Way Apt 22105, Austin, TX 78750-8388 | 2020-10-05 |
| 1215534441 | Maryia Nassonova | Dietitian, Registered | 5740 Airport Fwy, Haltom City, TX 76117-6005 | 2020-10-01 |
| 1366049488 | Ifunanya Onyima | Dietitian, Registered | 2500 Marketplace Dr Apt 536, Waco, TX 76711-2440 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FUNCTIONAL DIETETICS OF TEXAS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.