Nicole Carter Cornelious, RD, CSO, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

960271 Issued in TX

Practice address

10020 Spring Shadows Park Cir
Houston, TX 77080-2208

Phone

(713) 670-4683

NPI assigned

Apr 5, 2018

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1457857682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 KEMPWOOD DR STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 SPRING SHADOWS PARK CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802208",
            "telephone_number": "713-670-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIOUS",
        "first_name": "NICOLE",
        "middle_name": "CARTER",
        "credential": "RD, CSO, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "960271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul G. Corn, M.D.
• Claudia Cornejo, CNM
• Jamie Katheryn Cornejo, DNP, NP-C, BSN, RN
• Maria Paz Cornejo, LMT
• Rosendo Cornejo
• Darrell Cornelius, HIS
• Judith Cornelius, LPC, LMFT
• Marah Tamika Cornelius, NP-C
• Marlene Cornelius, NP
• Sarah Elizabeth Cornelius

• Registered Dietitian in Houston, TX
• Providers in Houston, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.