Active NPI
Alyssa Marie Newberry, RDN, LD
- Registered Dietitian
- Houston, TX
National Provider Identifier
1699367722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT86786
- Practice address
- 4203 Montrose Blvd Ste 310
Houston, TX 77006-5467 - Phone
- (832) 465-8531
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 | DT86786 | TX | Primary |
Addresses
Primary practice location
4203 Montrose Blvd Ste 310
Houston, TX 77006-5467
Mailing address
27 Chippewa TRL
The Woodlands, TX 77389-6933
Phone (832) 465-8531
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1699367722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CHIPPEWA TRL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773896933",
"telephone_number": "832-465-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 MONTROSE BLVD STE 310",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065467",
"telephone_number": "832-465-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT86786",
"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 Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.