Organization Active NPI

Nutricaddy LLC

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1497399851
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRICADDY LLC
Practice address
14 Greenway PLZ Unit 13O
Houston, TX 77046-1421
Phone
(832) 477-4777
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Ms. Netro McKay, RDN
Title
Clinical Nutrition Manager
Phone
(832) 477-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

14 Greenway PLZ Unit 13O
Houston, TX 77046-1421

Mailing address

14 Greenway PLZ Unit 13O
Houston, TX 77046-1421
Phone (832) 477-4777

Other identifiers 3

IdentifierTypeStateIssuer
39630-DIE-0OtherNVDEPARTMENT OF HEALTH AND HUMAN SERVICES
DT84107OtherTXTEXAS DEPARTMENT OF LICENSING AND REGULATION
L005942OtherNCNORTH CAROLINA BOARD OF DIETETICS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1497399851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GREENWAY PLZ UNIT 13O",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770461421",
            "telephone_number": "832-477-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GREENWAY PLZ UNIT 13O",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770461421",
            "telephone_number": "832-477-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRICADDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "NETRO",
        "authorized_official_title_or_position": "CLINICAL NUTRITION MANAGER",
        "authorized_official_telephone_number": "832-477-4777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "identifier": "39630-DIE-0",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "DT84107",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF DIETETICS",
            "identifier": "L005942",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.