Active NPI
Monica Karina Fuentes, RD LD
- Registered Dietitian
- Houston, TX
National Provider Identifier
1508503657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1014471
- Practice address
- 9535 Windfern Rd
Houston, TX 77064-7722 - Phone
- (713) 480-1167
- NPI assigned
- May 18, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80758 | TX | |
| Registered Dietitian | 133V00000X | 1014471 | IL | Primary |
Addresses
Primary practice location
9535 Windfern Rd
Houston, TX 77064-7722
Mailing address
9535 Windfern Rd
Houston, TX 77064-7722
Phone (713) 480-1167
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 |
|---|---|---|---|
| 1014471 | IL | MD | Registered Dietitian |
| DT80758 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1508503657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9535 WINDFERN RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770647722",
"telephone_number": "713-480-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9535 WINDFERN RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770647722",
"telephone_number": "713-480-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "MONICA",
"middle_name": "KARINA",
"credential": "RD LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80758",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "1014471",
"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 May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.