Active NPI
Aiten Cemal, MS IN NUTRITIONAL SC
- Health & Wellness Coach
- Katy, TX
National Provider Identifier
1124876263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- A-3623635
- Practice address
- 25118 Sundance Park LN
Katy, TX 77494-7338 - Phone
- (617) 717-4224
- NPI assigned
- May 13, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Health & Wellness Coach | 171400000X | A-3623635 | Primary |
Addresses
Primary practice location
25118 Sundance Park LN
Katy, TX 77494-7338
Mailing address
25118 Sundance Park LN
Katy, TX 77494-7338
Phone (617) 717-4224
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1124876263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25118 SUNDANCE PARK LN",
"city": "KATY",
"state": "TX",
"postal_code": "774947338",
"telephone_number": "617-717-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25118 SUNDANCE PARK LN",
"city": "KATY",
"state": "TX",
"postal_code": "774947338",
"telephone_number": "617-717-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEMAL",
"first_name": "AITEN",
"credential": "MS IN NUTRITIONAL SC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": "A-3623635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.