Individual provider Active NPI

Marcia Diulus, MPH, RD, LD

  • Registered Dietitian
  • Huntsville, TX
National Provider Identifier
1407608441
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87977 Issued in TX
Practice address
1217 Avenue M Ste 113
Huntsville, TX 77340-4650
Phone
(936) 337-3223
Fax
(936) 755-5115
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 DT87977 TX Primary

Addresses

Primary practice location

1217 Avenue M Ste 113
Huntsville, TX 77340-4650

Mailing address

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

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

State licenses

LicenseStateTypeSpecialty
DT87977TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Basic Balance Nutrition, Inc. Dietitian, Registered CurrentSince Jul 1, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

3206 Longmire Dr
Ste A7
College Station, TX 77845
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": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1407608441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 AVENUE M STE 113",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404650",
            "telephone_number": "936-337-3223",
            "fax_number": "936-755-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 AVENUE M STE 113",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404650",
            "telephone_number": "936-337-3223",
            "fax_number": "936-755-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIULUS",
        "first_name": "MARCIA",
        "credential": "MPH, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.