Individual provider Active NPI

Susan Ngundu, RD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1396116331
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81872 Issued in TX
Practice address
7863 Callaghan Rd
206
San Antonio, TX 78229-2453
Phone
(210) 525-1206
Fax
(210) 525-0160
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT81872 TX Primary

Addresses

Primary practice location

7863 Callaghan Rd
206
San Antonio, TX 78229-2453

Mailing address

13100 Northwest Fwy
Ste. 400
Houston, TX 77040-6310
Phone (713) 840-5125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dcoa Physician Associates PA PastSince Sep 21, 2015 Accepting new patients
Dcoa Physician Associates PA Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1396116331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 NORTHWEST FWY",
            "address_2": "STE. 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406310",
            "telephone_number": "713-840-5125",
            "fax_number": "281-897-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 CALLAGHAN RD",
            "address_2": "206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292453",
            "telephone_number": "210-525-1206",
            "fax_number": "210-525-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUNDU",
        "first_name": "SUSAN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.