Active NPI
Lynda K Mowdy, RN
- Nutritionist
- Shenandoah, TX
National Provider Identifier
1508008541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 744003
- Practice address
- 17943 Ih-45
Suite 115
Shenandoah, TX 77385-8708 - Phone
- (832) 237-3500
- Fax
- (832) 237-0200
- NPI assigned
- Apr 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 744003 | TX | Primary |
Addresses
Primary practice location
17943 Ih-45
Suite 115
Shenandoah, TX 77385-8708
Mailing address
11321 Fallbrook Dr
Houston, TX 77065-4232
Phone (832) 237-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 744003 | TX | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238976000000",
"number": "1508008541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11321 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654232",
"telephone_number": "832-237-3500",
"fax_number": "832-237-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17943 IH-45",
"address_2": "SUITE 115",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773858708",
"telephone_number": "832-237-3500",
"fax_number": "832-237-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWDY",
"first_name": "LYNDA",
"middle_name": "K",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-06",
"last_updated": "2009-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "TX",
"license": "744003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.