DIABETES AMERICA, LLC (NPI# 1992170161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992170161 |
| Entity Type | Organization |
| Organization Name | DIABETES AMERICA, LLC |
| Practice Address |
13100 Northwest Fwy Houston TX 77040-6310 |
| Mailing Address |
4011 Avenue S 1/2 Galveston TX 77550-8637 |
| Practice Telephone | 8322373500 |
| Practice Fax Number | 2818979906 |
| Mailing Telephone | 4097951344 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | NAKEVA TILLEY (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7138405153 |
| Is Organization Subpart | Y |
| Parent Organization Name | DCOA-PA, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
DT80784 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LD | DT80784 | 01 |
| Street Address |
13100 NORTHWEST FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77040-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891074621 | Karen Dickey | Contractor | 13100 Northwest Fwy, Suite 360, Houston, TX 77040-6310 | 2011-08-10 |
| 1619231859 | Eric Oji | Occupational Therapy Assistant | 13100 Northwest Fwy, Suite 360, Houston, TX 77040-6310 | 2012-07-03 |
| 1104186998 | Amanda Strack | Physical Therapy Assistant | 13100 Northwest Fwy, Suite 360, Houston, TX 77040-6310 | 2012-05-25 |
| 1861751398 | David Bustamante | Physical Therapy Assistant | 13100 Northwest Fwy, Suite 360, Houston, TX 77040-6310 | 2012-05-03 |
| 1184981136 | Emma Charlotte Pratt | Occupational Therapist | 13100 Northwest Fwy, Suite 360, Houston, TX 77040-6310 | 2012-04-16 |
| 1194081257 | Brandi Washington | Speech-Language Pathologist | 13100 Northwest Fwy, Suite 360, Houston, TX 77040-6310 | 2012-04-03 |
| 1104190339 | Maria S Marget | Occupational Therapist | 13100 Northwest Fwy, Houston, TX 77040-6310 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998595 | Stephanie Lynn Villarreal | Nurse Practitioner | 17347 Village Green Drive, Houston, TX 77040 | 2019-02-12 |
| 1285116855 | Darlene Lestrick | Non-emergency Medical Transport (VAN) | 6518 Hampden Point Ct, Houston, TX 77040 | 2018-08-30 |
| 1659859916 | Jill Nicole Hurst | Dietitian, Registered | 6969 Hollister St., Apt 909, Houston, TX 77040 | 2018-07-30 |
| 1871083444 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 17410 N.w. Freeway, Houston, TX 77040 | 2018-05-18 |
| 1538656111 | First Step To Recovery LLC | Substance Abuse Rehabilitation Facility | 7676 Hilmont, Suite 201, Houston, TX 77040 | 2018-04-18 |
| 1003311945 | Upthrust LLC | Non-emergency Medical Transport (VAN) | 7676 Hillmont St Ste 240e, Houston, TX 77040 | 2018-03-23 |
| 1952831737 | Allegra R Chopin | Technician | 7740 W Little York Rd, 2632, Houston, TX 77040 | 2017-06-14 |
| 1427509066 | Gary Chacon | Specialist/Technologist, Other | 9777 West Gulf Bank Rd, Suite 5, Houston, TX 77040 | 2016-10-19 |
| 1992253744 | Felicia Johnston | Counselor | 7787 Pinemont Dr. Suite B, Houston, TX 77040 | 2016-09-21 |
| 1285011841 | Michelle Callier | Occupational Therapist | 4423 Shadowdale, Houston, TX 77040 | 2015-05-04 |
| Find all providers in zip 77040 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909202 | Kevin Connolly Klatt | Dietitian, Registered | 4607 Morningside Dr, Houston, TX 77005-1441 | 2020-10-09 |
| 1780903559 | Therese Lebeau | Dietitian, Registered | 2212 Dunlavy St Apt 3, Houston, TX 77006-1749 | 2010-05-19 |
| 1306088349 | Emily Lepow | Dietitian, Registered | 2495 S. Braeswood, Houston, TX 77030-4332 | 2009-04-06 |
| 1730176165 | Richmark Financial Services Group Inc | Dietitian, Registered | 9301 Southwest Freeway, Suite 250, Houston, TX 77074-1518 | 2005-09-30 |
| 1184089112 | Carli Vogler | Dietitian, Registered | 701 Richmond Ave Ste 275, Houston, TX 77006-5560 | 2015-12-17 |
| 1396173738 | Brook Marvin | Dietitian, Registered | 11301 Fallbrook Dr Ste 304, Houston, TX 77065-4272 | 2013-10-22 |
| 1518267103 | Terence Fox | Dietitian, Registered | 3224 Yoakum Blvd, Houston, TX 77006-3926 | 2010-10-28 |
| 1740590504 | Ronnie Cummings | Dietitian, Registered | 3224 Yoakum Blvd, Houston, TX 77006-3926 | 2010-10-14 |
| 1487896437 | Carrie J Reynolds | Dietitian, Registered | 1140 Cypress Station Dr, Suite 200, Houston, TX 77090-3045 | 2009-04-06 |
| 1831334796 | Mimi H Waida | Dietitian, Registered | 11321 Fallbrook Dr, Houston, TX 77065-4232 | 2008-12-08 |
| Find all providers in HOUSTON | ||||
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| 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.