Organization Active NPI

Embodied Nutrition Therapy LLC

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1497456784
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EMBODIED NUTRITION THERAPY LLC
Practice address
1619 McDuffie St
Houston, TX 77019-5311
Phone
(512) 387-1028
Fax
(832) 979-5731
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Emma Berglund, RDNPI 1821636630
Title
Practice Owner
Phone
(832) 597-7275

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

Addresses

Primary practice location

1619 McDuffie St
Houston, TX 77019-5311

Mailing address

2020 Haddon St
Houston, TX 77019-5744
Phone (832) 457-8027

National Provider Directory

National Provider Directory

Locations

11703 Spring Cypress Rd
Ste W
Tomball, TX 77377

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": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1497456784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HADDON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195744",
            "telephone_number": "832-457-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 MCDUFFIE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195311",
            "telephone_number": "512-387-1028",
            "fax_number": "832-979-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED NUTRITION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "BERGLUND",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "832-597-7275",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2024; 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.