Individual provider Active NPI

Danielle Vice, MS, RD, LD, CNSC

  • Metabolic Nutrition Registered Dietitian
  • Galveston, TX
National Provider Identifier
1487020574
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DT82116 Issued in TX
Practice address
301 University Blvd
Research Building 6 Set 3.350
Galveston, TX 77555-0359
Phone
(409) 772-5273
Fax
(409) 772-9595
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X DT82116 TX Primary

Addresses

Primary practice location

301 University Blvd
Research Building 6 Set 3.350
Galveston, TX 77555-0359

Mailing address

301 University Blvd
Research Building 6 Set 3.350
Galveston, TX 77555-0359
Phone (409) 772-5273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209000133 TX Practitioner - Registered Dietitian Or Nutrition Professional 8820399249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Sep 6, 2015 Accepting new patients

Locations

301 University Blvd
Bldg 6
Galveston, TX 77555
Phone (409) 772-3466

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1487020574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "RESEARCH BUILDING 6 SET 3.350",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550359",
            "telephone_number": "409-772-5273",
            "fax_number": "409-772-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "RESEARCH BUILDING 6 SET 3.350",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550359",
            "telephone_number": "409-772-5273",
            "fax_number": "409-772-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICE",
        "first_name": "DANIELLE",
        "credential": "MS, RD, LD, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT82116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.