Individual provider Active NPI

Paula De Souza Glaser, MPH, RD, LD

  • Registered Dietitian
  • Conroe, TX
National Provider Identifier
1457146771
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2510 S Loop 336 W Ste 215B
Conroe, TX 77304-3737
Phone
(936) 596-0445
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 Primary

Addresses

Primary practice location

2510 S Loop 336 W Ste 215B
Conroe, TX 77304-3737

Mailing address

2510 S Loop 336 W Ste 215B
Conroe, TX 77304-3737
Phone (936) 596-0445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617001310 TX Practitioner - Registered Dietitian Or Nutrition Professional 3476064478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Family Nutrition Center LLC Dietitian, Registered CurrentSince Jun 11, 2025 Accepting new patients

Locations

2510 S Loop 336 W
Ste 215B
Conroe, TX 77304
Phone (936) 596-0445

Organizations & group practices 1

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1457146771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 S LOOP 336 W STE 215B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043737",
            "telephone_number": "936-596-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S LOOP 336 W STE 215B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043737",
            "telephone_number": "936-596-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUZA GLASER",
        "first_name": "PAULA",
        "credential": "MPH, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.