Individual provider Active NPI

Julie C Amerault, RD, LD, PMP

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1669421988
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
942895 Issued in TX
Practice address
7112 Ed Bluestein Blvd
Suite 155
Austin, TX 78723-2900
Phone
(512) 978-9334
NPI assigned
May 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 942895 AZ
Registered Dietitian 133V00000X 942895 TX Primary

Addresses

Primary practice location

7112 Ed Bluestein Blvd
Suite 155
Austin, TX 78723-2900

Mailing address

15900 Decker Lake Rd
Manor, TX 78653-4983
Phone (573) 353-8502

Other identifiers 1

IdentifierTypeStateIssuer
933201MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
942895AZMDRegistered Dietitian
942895TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1669421988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 DECKER LAKE RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534983",
            "telephone_number": "573-353-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD",
            "address_2": "SUITE 155",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232900",
            "telephone_number": "512-978-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERAULT",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "RD, LD, PMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "942895",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "942895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "933201",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.