Active NPI
Nutrifabulous, LLC
- Registered Dietitian
- Georgetown, TX
National Provider Identifier
1477823375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82122
- Legal business name
- NUTRIFABULOUS, LLC
- Practice address
- 1915 S Austin Ave
Ste 106
Georgetown, TX 78626-7843 - Phone
- (512) 948-7534
- NPI assigned
- Jan 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hope Van Der Heijden, R.D.
- Title
- President
- Phone
- (512) 948-7534
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82122 | TX | Primary |
Addresses
Primary practice location
1915 S Austin Ave
Ste 106
Georgetown, TX 78626-7843
Mailing address
1915 S Austin Ave
Ste 106
Georgetown, TX 78626-7843
Phone (512) 948-7534
National Provider Directory
National Provider DirectoryLocations
1915 S Austin Ave
Ste 106
Georgetown, TX 78626
Phone (512) 948-7534
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1477823375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 S AUSTIN AVE",
"address_2": "STE 106",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267843",
"telephone_number": "512-948-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 S AUSTIN AVE",
"address_2": "STE 106",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267843",
"telephone_number": "512-948-7534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRIFABULOUS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "VAN DER HEIJDEN",
"authorized_official_first_name": "HOPE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-948-7534",
"authorized_official_credential": "R.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.