Individual provider Active NPI

Tish Joan Wright, MS, RD, LD, CDCES

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1609919661
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT03049 Issued in TX
Practice address
11476 Space Center Blvd
Suite 100
Houston, TX 77059-3599
Phone
(713) 486-6325
Fax
(713) 486-6286
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT03049 TX Primary

Addresses

Primary practice location

11476 Space Center Blvd
Suite 100
Houston, TX 77059-3599

Mailing address

11476 Space Center Blvd
Suite 100
Houston, TX 77059-3599
Phone (713) 486-6325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130518000069 TX Practitioner - Registered Dietitian Or Nutrition Professional 0749427367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

11452 Space Ctr Blvd
Houston, TX 77059-3599
Phone (832) 775-9800

11476 Space Ctr Blvd
Houston, TX 77059-3599
Phone (713) 486-1120

6410 Fannin St
Houston, TX 77030-3005

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT03049TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Mar 17, 2013 Accepting new patients
Ut Physicians CurrentSince Mar 17, 2013 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

11476 Space Center Blvd
Ste 100
Houston, TX 77059
Phone (713) 486-6325

11452 Space Center Blvd
Houston, TX 77059
Phone (713) 486-6200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1609919661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11476 SPACE CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593599",
            "telephone_number": "713-486-6325",
            "fax_number": "713-486-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11476 SPACE CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593599",
            "telephone_number": "713-486-6325",
            "fax_number": "713-486-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TISH",
        "middle_name": "JOAN",
        "credential": "MS, RD, LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT03049",
            "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 Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.