Individual provider Active NPI

Cristina Teresa Villa Gamino, MS, RD, LD

  • Registered Dietitian
  • The Woodlands, TX
National Provider Identifier
1073164331
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT86183 Issued in TX
Practice address
318 Briar Rock Rd
The Woodlands, TX 77380-3528
Phone
(281) 363-1005
Fax
(844) 817-2685
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 DT86183 TX Primary

Addresses

Primary practice location

318 Briar Rock Rd
The Woodlands, TX 77380-3528

Mailing address

318 Briar Rock Rd
The Woodlands, TX 77380-3528
Phone (281) 363-1005

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT86183TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1073164331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 BRIAR ROCK RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803528",
            "telephone_number": "281-363-1005",
            "fax_number": "844-817-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 BRIAR ROCK RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803528",
            "telephone_number": "281-363-1005",
            "fax_number": "844-817-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA GAMINO",
        "first_name": "CRISTINA",
        "middle_name": "TERESA",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.