Chisom Faith Ugwunze, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85725 Issued in TX

Practice address

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

Phone

(936) 596-0445

NPI assigned

Mar 3, 2025

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

Other names 1

• Chisom Faith Etumnu Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woodlands Family Nutrition Center LLCGroup PAC ID 2062800717, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Woodlands Family Nutrition Center LLC

  • Registered Dietitian
  • The Woodlands, TX
  • NPI 1396413654

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1467259903",
    "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": "UGWUNZE",
        "first_name": "CHISOM",
        "middle_name": "FAITH",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHISOM",
            "last_name": "ETUMNU",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth K Tyer Sr., D.D.S.
• Miles Tyler
• U S Anesthesia Partners of Texas, PA
• Moses Anos Ubaechu
• John N Ugwu, CEO
• United Nemt, LLC
• Unity Neighborhoods Hub
• Unitymed Solutions LLC
• Universal MRI and Diagnostics Inc
• Beatriz Nayelli Uribe, OT

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

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