Active NPI
Fueling Families Nutrition, LLC
- Registered Dietitian
- Conroe, TX
National Provider Identifier
1679338040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- FUELING FAMILIES NUTRITION, LLC
- Practice address
- 1296 FM 3083 Rd
Conroe, TX 77301-6446 - Phone
- (346) 628-7970
- Fax
- (346) 202-0274
- NPI assigned
- Feb 15, 2024
- Last updated
- Feb 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Brown, RD, LD
- Title
- Registered Dietitian
- Phone
- (346) 628-7970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1296 FM 3083 Rd
Conroe, TX 77301-6446
Mailing address
22834 River Birch Dr
Tomball, TX 77375-5421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457140801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1296 FM 3083 Rd
Conroe, TX 77301
Phone (346) 268-7970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708560000000",
"number": "1679338040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22834 RIVER BIRCH DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1296 FM 3083 RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773016446",
"telephone_number": "346-628-7970",
"fax_number": "346-202-0274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUELING FAMILIES NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "346-628-7970",
"authorized_official_credential": "RD, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "457140801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.