Bonnie Lynn Berube, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT00673 Issued in TX

Practice address

1425 Blalock Rd
Suite 107
Houston, TX 77055-4475

Phone

(713) 785-6481

Fax

(713) 785-7200

NPI assigned

Dec 28, 2011

Last updated

Dec 28, 2011By 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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balance Family Medicine, PLLC

  • Multi-Specialty Clinic/Center
  • Katy, TX
  • NPI 1912345646
  Medicare reassignment NPD
• BLB Consulting, Inc.

  • Registered Dietitian
  • Houston, TX
  • NPI 1902188170
  Authorized official Same address or phone
• Webster Surgical Specialty Hospital, LLC

  dba Memorial Hermann Houston Physicians' Hospital

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1285699835
  NPD (past)
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1275802803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BLALOCK RD",
            "address_2": "SUITE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554475",
            "telephone_number": "713-785-6481",
            "fax_number": "713-785-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BLALOCK RD",
            "address_2": "SUITE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554475",
            "telephone_number": "713-785-6481",
            "fax_number": "713-785-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "BONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT00673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Bienvenu Bertrand, FNP
• Kellee N Bertsch, OD
• Calli Ann Bertschy, D.O.
• Alison Bertuch, PHD
• Berube Consulting PLLC
• Melany Berumen
• Tarang Bery, M.D.
• Edward Berzin, MD
• Elizabeth K Berzin, D.D.S.
• Kirsten Corinne Besch, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.