Active NPI
Embodied Nutrition Therapy LLC
- Registered Dietitian
- Houston, TX
National Provider Identifier
1497456784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emma Berglund, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.