NPIMap

Organization Active NPI

Mimi Chan, LLC

Doing business as Nutrition Comfort, LLC

  • Registered Dietitian
  • Katy, TX
National Provider Identifier
1194080606
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT83652 Issued in TX
Legal business name
MIMI CHAN, LLC
Doing business as
Nutrition Comfort, LLC
Practice address
515A South Fry Road
Suite #165
Katy, TX 77450
Phone
(832) 916-2698
NPI assigned
Jul 10, 2012
Last updated
Feb 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Ms. Mimi Chan, RD, LD, CNSC, CDENPI 1154616050
Title
Ceo
Phone
(832) 916-2698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT83652 TX Primary

Addresses

Primary practice location

515A South Fry Road
Suite #165
Katy, TX 77450

Mailing address

515A South Fry Road
Suite 165
Katy, TX 77450

Other names 1

  • Nutrition Comfort, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

515 S Fry Rd
Ste 165
Katy, TX 77450
Phone (832) 916-2698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1194080606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515A SOUTH FRY ROAD",
            "address_2": "SUITE 165",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515A SOUTH FRY ROAD",
            "address_2": "SUITE #165",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "832-916-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI CHAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-916-2698",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, LD, CNSC, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition Comfort, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 23, 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.