Iraides Campuzano Mondragon, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT90398 Issued in TX

Practice address

3724 Jefferson St Ste 104
Austin, TX 78731-6204

Phone

(512) 803-9353

NPI assigned

Jun 6, 2026

Last updated

Jun 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1780704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1184557308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 PAR CV APT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787443776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316204",
            "telephone_number": "512-803-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPUZANO MONDRAGON",
        "first_name": "IRAIDES",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-06",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT90398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Campos, RD, LD
• Chris Campos
• Keila Thais Campos, DO
• Michael Campos, LCSW
• Samantha Campos, SLP
• Liliana Campuzano, PT
• Rocio Camusso, OTR/L
• Byron Seve Canales, LMSW, LCDC-I
• Amelia D. Canally, LCSW
• Kathryn Canavan

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; 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.