Active NPI
Sugarland Dietitian LLC
- Health Service Clinic/Center
- Sugar Land, TX
National Provider Identifier
1083449763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SUGARLAND DIETITIAN LLC
- Practice address
- 2245 Texas Dr Ste 300
Sugar Land, TX 77479-1468 - Phone
- (832) 537-0822
- NPI assigned
- Sep 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rawaa Elabbassi, RD
- Title
- Rd
- Phone
- (832) 537-0822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2245 Texas Dr Ste 300
Sugar Land, TX 77479-1468
Mailing address
919 Floriencia St
Sugar Land, TX 77479-2758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2245 Texas Dr
Ste 300
Sugar Land, TX 77479
Phone (281) 402-9227
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Sugar Land, TX
- NPI 1700493202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725321600000",
"number": "1083449763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 FLORIENCIA ST",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 TEXAS DR STE 300",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774791468",
"telephone_number": "832-537-0822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGARLAND DIETITIAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A",
"authorized_official_last_name": "ELABBASSI",
"authorized_official_first_name": "RAWAA",
"authorized_official_title_or_position": "RD",
"authorized_official_telephone_number": "832-537-0822",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
- Sugarland Children'S Sleep Center, LTD
- Sugarland Clinical DX LLC
- Sugarland Dialysis II Management, LLC
- Sugarland Dialysis South
- Sugarland Dialysis South, LLC
- Sugarland Emergency Physicians PA
- Sugarland Eye & Laser Center Professional Association
- Sugarland Mint Dentistry PLLC
- Sugarland Neo Peds Care PLLC
- Sugarland Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.