Active NPI
Stephanie L Ouellette, RD
- Registered Dietitian
- Katy, TX
National Provider Identifier
1659628840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 816344
- Practice address
- 5318 Dandelion Meadow LN
Katy, TX 77494-4887 - Phone
- (281) 684-4733
- NPI assigned
- Aug 7, 2012
- 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 | 816344 | TX | Primary |
Addresses
Primary practice location
5318 Dandelion Meadow LN
Katy, TX 77494-4887
Mailing address
5318 Dandelion Meadow Lane
Katy, TX 77494-4887
Phone (281) 684-4733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21815 Oak Park Trails Dr
Katy, TX 77450-6184
Phone (281) 684-4733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 816344 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| So Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
21815 Oak Park Trails Dr
Katy, TX 77450
Phone (281) 684-4733
Organizations & group practices 1
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": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1659628840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5318 DANDELION MEADOW LANE",
"city": "KATY",
"state": "TX",
"postal_code": "774944887",
"telephone_number": "281-684-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5318 DANDELION MEADOW LN",
"city": "KATY",
"state": "TX",
"postal_code": "774944887",
"telephone_number": "281-684-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUELLETTE",
"first_name": "STEPHANIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "816344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.