Individual provider Active NPI

Gina Mateer, R.D., L.D.

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1225456528
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81885 Issued in TX
Practice address
2201 N Lamar Blvd Ste 100
Austin, TX 78705-4920
Phone
(512) 814-8255
NPI assigned
Apr 3, 2014
Last updated
Dec 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

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 DT81885 TX Primary

Addresses

Primary practice location

2201 N Lamar Blvd Ste 100
Austin, TX 78705-4920

Mailing address

2317 S 3Rd St
Austin, TX 78704-5025
Phone (832) 439-6534

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
DT81885TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1225456528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 S 3RD ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045025",
            "telephone_number": "832-439-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N LAMAR BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054920",
            "telephone_number": "512-814-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEER",
        "first_name": "GINA",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.