Active NPI
Paulina Lee, RD, LD
- Registered Dietitian
- Missouri City, TX
National Provider Identifier
1013501824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT83786
- Practice address
- 4923 Cypress Spring Dr
Missouri City, TX 77459-4076 - Phone
- (832) 964-5628
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | DT83786 | TX | Primary |
Addresses
Primary practice location
4923 Cypress Spring Dr
Missouri City, TX 77459-4076
Mailing address
4923 Cypress Spring Dr
Missouri City, TX 77459-4076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT83786 | TX | MD | Registered Dietitian |
Networks
- TX HMO D-SNP
- TX HMO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1013501824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 CYPRESS SPRING DR",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 CYPRESS SPRING DR",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594076",
"telephone_number": "832-964-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PAULINA",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.