Organization Active NPI

Dietitian Danielle LLC

Doing business as Dietitian Danielle

  • Registered Dietitian
  • Dickinson, TX
National Provider Identifier
1285135731
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84520 Issued in TX
Legal business name
DIETITIAN DANIELLE LLC
Doing business as
Dietitian Danielle
Practice address
951 FM 646 Rd E Ste A8
Dickinson, TX 77539-5597
Phone
(281) 947-2731
Fax
(281) 215-5104
NPI assigned
Feb 21, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Danielle Johnson, RD, LDNPI 1871008193
Title
Registered Dietitian-Owner
Phone
(281) 947-2731

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT84520 TX Primary

Addresses

Primary practice location

951 FM 646 Rd E Ste A8
Dickinson, TX 77539-5597

Mailing address

951 FM 646 Rd E Ste A8
Dickinson, TX 77539-5597
Phone (281) 947-2731

Other identifiers 2

IdentifierTypeStateIssuer
1871008193OtherTXNPI TYPE 1
DT84520OtherTXLICENSE

Other names 1

  • Dietitian Danielle Doing business as

National Provider Directory

National Provider Directory

Locations

951 FM 646 Rd E
Ste A8
Dickinson, TX 77539
Phone (281) 947-2731

Practitioners & affiliated clinicians

Practitioners 2

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": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1285135731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 FM 646 RD E STE A8",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775395597",
            "telephone_number": "281-947-2731",
            "fax_number": "281-215-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 FM 646 RD E STE A8",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775395597",
            "telephone_number": "281-947-2731",
            "fax_number": "281-215-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIAN DANIELLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN-OWNER",
        "authorized_official_telephone_number": "281-947-2731",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1871008193",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DT84520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dietitian Danielle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.