Vidawell Nutrition Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VIDAWELL NUTRITION CENTER LLC

Practice address

7737 Southwest Fwy Ste 415
Houston, TX 77074-1800

Phone

(713) 988-0653

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Alexandra Fernandez, RD, LDNNPI 1083241574

Title

Registered Dietitian

Phone

(713) 540-0157

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Fernandez, MS, RDN, LD

  • Registered Dietitian
  • Houston, TX
  • NPI 1083241574

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1184335267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY STE 415",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741800",
            "telephone_number": "713-988-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY STE 415",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741800",
            "telephone_number": "713-988-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAWELL NUTRITION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "713-540-0157",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "a.fernandezt18@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7737 Southwest Fwy Ste 415",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770741800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frank Vidal, D.M.D
• Katherine Nicole Vidal, DO
• Marieberta Vidal, M.D.
• Patricia Danielle Vidal, PA
• Von Nairee Vidal
• Luis Enrique Vides, ED. D, LPC
• Mishell Vides
• Brandon Wayne Vidrine, NP
• Dustin Vidrine
• Steven F Viegas, M.D.

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.