Organization Active NPI

Sugarland Dietitian LLC

  • Health Service Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1083449763
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Rawaa Elabbassi, RDNPI 1700493202
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20241127000372 TX Part B Supplier - Clinic/Group Practice 1850826876 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.