Individual provider Active NPI

Emily Glover

  • Registered Dietitian
  • Conroe, TX
National Provider Identifier
1396532073
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT92008 Issued in TX
Practice address
303 Longmire Rd Unit 701
Conroe, TX 77304-2101
Phone
(936) 337-3223
NPI assigned
Apr 24, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 DT92008 TX Primary

Addresses

Primary practice location

303 Longmire Rd Unit 701
Conroe, TX 77304-2101

Mailing address

303 Longmire Rd Unit 701
Conroe, TX 77304-2101

Other practice location 1

1217 Avenue M Ste 113
Huntsville, TX 77340-4650
Phone (936) 337-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001709 TX Practitioner - Registered Dietitian Or Nutrition Professional 9032611488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Texas Medical Branch at Galveston, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Basic Balance Nutrition, Inc.Group PAC ID 3678838513, 8 clinicians

Practice addresses (Care Compare)

303 Longmire Rd
Suite 701 3
Conroe, TX 77304-2175
Phone (936) 337-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Basic Balance Nutrition, Inc. Dietitian, Registered CurrentSince Aug 1, 2025 Accepting new patients
Dietitian Direct Inc Dietitian, Registered PastSince Aug 1, 2025 Accepting new patients

Locations

3206 Longmire Dr
Ste A7
College Station, TX 77845
Phone (936) 337-3223

2911 Texas Ave S
Ste 202
College Station, TX 77845
Phone (979) 204-3987

303 Longmire Rd
Ste 7013
Conroe, TX 77304
Phone (936) 337-3223

1217 Avenue M
Ste 113
Huntsville, TX 77340
Phone (936) 337-2981

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1396532073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LONGMIRE RD UNIT 701",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LONGMIRE RD UNIT 701",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042101",
            "telephone_number": "936-337-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 Avenue M Ste 113",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404650",
            "country_code": "US",
            "telephone_number": "936-337-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT92008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.