Individual provider Active NPI

Allyson Pendergrass, RD, LDN

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1043969769
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87597 Issued in TX
Practice address
845 Texas St
Houston, TX 77002-2858
Phone
(281) 896-6512
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT87597 TX Primary

Addresses

Primary practice location

845 Texas St
Houston, TX 77002-2858

Mailing address

3001 Macoma Ave
Pearland, TX 77581-1729
Phone (281) 896-6512

Other practice location 1

4402 Lillian St Unit 1
Houston, TX 77007-5675
Phone (281) 896-6512

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT87597TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Allyson Pendergrass, Rd, LLC Dietitian, Registered CurrentSince Mar 31, 2024 Accepting new patients

Locations

845 Texas St
Houston, TX 77002
Phone (281) 896-6512

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1043969769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 MACOMA AVE",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775811729",
            "telephone_number": "281-896-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 TEXAS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022858",
            "telephone_number": "281-896-6512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Lillian St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770075675",
            "country_code": "US",
            "telephone_number": "281-896-6512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "ALLYSON",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.