Organization Active NPI

Elite Nutriplan LLC

  • Registered Dietitian
  • Cypress, TX
National Provider Identifier
1366224511
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ELITE NUTRIPLAN LLC
Practice address
12320 Barker Cypress Rd Ste 600B137
Cypress, TX 77429-8325
Phone
(713) 742-2202
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Adelle Kanaan, MS RD LDNPI 1487434825
Title
Registered Dietitian/Owner
Phone
(281) 788-9547

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 Primary

Addresses

Primary practice location

12320 Barker Cypress Rd Ste 600B137
Cypress, TX 77429-8325

Mailing address

12320 Barker Cypress Rd Ste 600 Box137
Cypress, TX 77429

National Provider Directory

National Provider Directory

Locations

12320 Barker Cypress Rd
Ste 600B137
Cypress, TX 77429
Phone (713) 742-2202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1366224511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 BARKER CYPRESS RD STE 600 BOX137",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 BARKER CYPRESS RD STE 600B137",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298325",
            "telephone_number": "713-742-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE NUTRIPLAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "KANAAN",
        "authorized_official_first_name": "ADELLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "281-788-9547",
        "authorized_official_credential": "MS RD LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.