Active NPI
The Healthie Code
- Registered Dietitian
- Henderson, TX
National Provider Identifier
1194532663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- THE HEALTHIE CODE
- Practice address
- 921 S Evenside Ave
Henderson, TX 75654-4257 - Phone
- (936) 465-1168
- NPI assigned
- Dec 17, 2024
- Last updated
- Dec 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristal Vardeman
- Title
- Registered Dietitian
- Phone
- (936) 465-1168
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | Primary | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Pediatric Critical Care Nutrition Registered Dietitian | 133VN1401X | |||
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X |
Addresses
Primary practice location
921 S Evenside Ave
Henderson, TX 75654-4257
Mailing address
921 S Evenside Ave
Henderson, TX 75654-4257
National Provider Directory
National Provider DirectoryPractitioners & 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": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1194532663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 S EVENSIDE AVE",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756544257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 S EVENSIDE AVE",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756544257",
"telephone_number": "936-465-1168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEALTHIE CODE",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "VARDEMAN",
"authorized_official_first_name": "CRISTAL",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "936-465-1168"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, TX
- Strong-Hurt Pharmacy, Inc.
- James C Stroud
- Amber Talley
- Tanager Emergency Physicians PLLC
- John Stephen Taylor, DDS
- Megan Nicole Thigpen, DDS
- Tim Wasson Incorporated (Medicine Shoppe)
- Tad Wayland Titlow, APN-C
- Titus County Hospital District (Henderson Health & Rehabilitation Center)
- Richard Arlington Todd, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.