Organization Active NPI

Sculpture Nutrition & Fitness

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1114384401
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT06505 Issued in TX
Legal business name
SCULPTURE NUTRITION & FITNESS
Practice address
2525 Wallingwood Dr
Building 8, Suite 800
Austin, TX 78746-6900
Phone
(512) 994-4594
Fax
(512) 306-1403
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Mrs. Amy Culp, RD, CSSD, LD
Title
Member/Director
Phone
(512) 517-7624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT06505 TX Primary

Addresses

Primary practice location

2525 Wallingwood Dr
Building 8, Suite 800
Austin, TX 78746-6900

Mailing address

2525 Wallingwood Dr
Building 8, Suite 800
Austin, TX 78746-6900
Phone (512) 994-4594

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1114384401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR",
            "address_2": "BUILDING 8, SUITE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900",
            "telephone_number": "512-994-4594",
            "fax_number": "512-306-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR",
            "address_2": "BUILDING 8, SUITE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900",
            "telephone_number": "512-994-4594",
            "fax_number": "512-306-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPTURE NUTRITION & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "CULP",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEMBER/DIRECTOR",
        "authorized_official_telephone_number": "512-517-7624",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, CSSD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.