Sustainable Nourishment Nutrition Therapy, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SUSTAINABLE NOURISHMENT NUTRITION THERAPY, LLC

Practice address

3805 W Alabama St Apt 4107
Houston, TX 77027-5248

Phone

(214) 491-9346

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Cassidy Camiscione, RD

Title

Registered Dietitian

Phone

(214) 491-9346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1295358174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 WESTHEIMER ROAD",
            "address_2": "SUITE 550 PMB 641",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "214-491-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W ALABAMA ST APT 4107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275248",
            "telephone_number": "214-491-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINABLE NOURISHMENT NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "CAMISCIONE",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "214-491-9346",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarat Chandra Susarla, MD
• Hannah Susman, RBT
• Patricia Gerta Susman, LPC
• Norman L. Sussman, MD
• Sustain Health Supplies LLC
• Stacie L Sustaita
• Xiomara Sustaita
• Michelle Sutanto, MD
• Ayush Sutaria, M.D.
• Neil Sutaria, M.D.

• 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 May 26, 2020; 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.