Active NPI
Ngan Ly, RD
- Obesity and Weight Management Nutrition Registered Dietitian
- Houston, TX
National Provider Identifier
1053914267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- Practice address
- 1615 Hillendahl Blvd Ste 101
Houston, TX 77055-3402 - Phone
- (713) 462-6565
- NPI assigned
- Nov 19, 2020
- 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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | TX | Primary |
Addresses
Primary practice location
1615 Hillendahl Blvd Ste 101
Houston, TX 77055-3402
Mailing address
4820 Caroline St Apt 407
Houston, TX 77004-5673
Phone (713) 208-0152
Other practice location 1
4820 Caroline St Apt 407
Houston, TX 77004-5673
Phone (713) 208-0152
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | URL | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NL Wellness | Nutrition, Obesity and Weight Management | Current | Accepting new patients |
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.
-
- Obesity and Weight Management Nutrition Registered Dietitian
- Houston, TX
- NPI 1619654365
Nutrition, Obesity and Weight Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1053914267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 CAROLINE ST APT 407",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770045673",
"telephone_number": "713-208-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HILLENDAHL BLVD STE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770553402",
"telephone_number": "713-462-6565"
}
],
"practiceLocations": [
{
"address_1": "4820 Caroline St Apt 407",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770045673",
"country_code": "US",
"telephone_number": "713-208-0152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LY",
"first_name": "NGAN",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "URL",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1615 Hillendahl Blvd Ste 101",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770553402",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.