Individual provider Active NPI

Virginia Wimberley, RD, LDN

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1568878296
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1012437
Practice address
11445 Compaq Center West Dr
Cca5
Houston, TX 77070-1433
Phone
(713) 724-5620
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT 82285 TX
Registered Dietitian 133V00000X 2364 TN
Registered Dietitian 133V00000X 1012437 Primary

Addresses

Primary practice location

11445 Compaq Center West Dr
Cca5
Houston, TX 77070-1433

Mailing address

20902 Kransburg Ridge Dr
Porter, TX 77365-3584
Phone (713) 724-5620

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

LicenseStateTypeSpecialty
2364TNMDChiropractor
DT 82285TXMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1568878296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20902 KRANSBURG RIDGE DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653584",
            "telephone_number": "713-724-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11445 COMPAQ CENTER WEST DR",
            "address_2": "CCA5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701433",
            "telephone_number": "713-724-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLEY",
        "first_name": "VIRGINIA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT 82285",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2364",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1012437",
            "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 Jul 2, 2014; 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.