Active NPI
Grace Chigozie Otum, RD, LD
- Registered Dietitian
- Katy, TX
National Provider Identifier
1699398750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT85863
- Practice address
- 1660 Katy Gap Rd Apt 21106
Katy, TX 77494-7720 - Phone
- (205) 790-3916
- NPI assigned
- May 24, 2020
- 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 | DT85863 | TX | Primary |
Addresses
Primary practice location
1660 Katy Gap Rd Apt 21106
Katy, TX 77494-7720
Mailing address
8787 Woodway Dr Apt 1107
Houston, TX 77063-2424
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT85863 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otum Health Management LLC | Dietitian, Registered | Current | 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": "1590278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590278400000",
"number": "1699398750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8787 WOODWAY DR APT 1107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770632424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 KATY GAP RD APT 21106",
"city": "KATY",
"state": "TX",
"postal_code": "774947720",
"telephone_number": "205-790-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTUM",
"first_name": "GRACE",
"middle_name": "CHIGOZIE",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-24",
"last_updated": "2020-05-24",
"certification_date": "2020-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT85863",
"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 May 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.