Individual provider Active NPI

Pamela Parulian, RD

  • Registered Dietitian
  • College Station, TX
National Provider Identifier
1205427655
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82133 Issued in TX
Practice address
1200 Deacon Dr
College Station, TX 77845-6403
Phone
(979) 777-3735
NPI assigned
Jan 28, 2021
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT82133 TX Primary

Addresses

Primary practice location

1200 Deacon Dr
College Station, TX 77845-6403

Mailing address

727 Graham Rd Ste 400
College Station, TX 77845-9666
Phone (979) 201-8848

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

State licenses

LicenseStateTypeSpecialty
DT82133TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1205427655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 GRAHAM RD STE 400",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459666",
            "telephone_number": "979-201-8848",
            "fax_number": "877-334-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DEACON DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456403",
            "telephone_number": "979-777-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARULIAN",
        "first_name": "PAMELA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.