Active NPI
Peggy Virginia Raney, RD, LD
- Registered Dietitian
- Conroe, TX
National Provider Identifier
1508098088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DR04966
- Practice address
- 8000 Hwy 242
Suite 123
Conroe, TX 77365 - Phone
- (936) 441-3133
- Fax
- (936) 321-3232
- NPI assigned
- Aug 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DR04966 | TX | Primary |
Addresses
Primary practice location
8000 Hwy 242
Suite 123
Conroe, TX 77365
Mailing address
14678 Lyric Rd
Conroe, TX 77302
Phone (281) 799-5536
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR04966 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1508098088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14678 LYRIC RD",
"city": "CONROE",
"state": "TX",
"postal_code": "77302",
"telephone_number": "281-799-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 HWY 242",
"address_2": "SUITE 123",
"city": "CONROE",
"state": "TX",
"postal_code": "77365",
"telephone_number": "936-441-3133",
"fax_number": "936-321-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANEY",
"first_name": "PEGGY",
"middle_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DR04966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.