Individual provider Active NPI

Paulina Rodriguez Tenorio, RD, LD

  • Registered Dietitian
  • Tomball, TX
National Provider Identifier
1669188306
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87500 Issued in TX
Practice address
18 S Wheatleigh Dr
Tomball, TX 77375-1474
Phone
(832) 610-9749
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 DT87500 TX Primary

Addresses

Primary practice location

18 S Wheatleigh Dr
Tomball, TX 77375-1474

Mailing address

18 S Wheatleigh Dr
Tomball, TX 77375-1474
Phone (832) 610-9749

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
DT87500TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourishing Habits LLC Dietitian, Registered CurrentSince May 7, 2023 Accepting new patients

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1669188306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S WHEATLEIGH DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751474",
            "telephone_number": "832-610-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S WHEATLEIGH DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751474",
            "telephone_number": "832-610-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ TENORIO",
        "first_name": "PAULINA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.