Active NPI
Elite Nutriplan LLC
- Registered Dietitian
- Cypress, TX
National Provider Identifier
1366224511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adelle Kanaan, MS RD LD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.