Individual provider Active NPI

Patricia Henry Lewandowski, RD, LD, CDE

  • Registered Dietitian
  • Magnolia, TX
National Provider Identifier
1699856146
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT00285 Issued in TX
Practice address
6875 FM 1488 Rd
Suite 1400
Magnolia, TX 77354-4520
Phone
(281) 259-9943
Fax
(281) 259-9142
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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 DT00285 TX Primary

Addresses

Primary practice location

6875 FM 1488 Rd
Suite 1400
Magnolia, TX 77354-4520

Mailing address

6875 FM 1488 Rd
Suite 1400
Magnolia, TX 77354-4520
Phone (281) 259-9943

Other identifiers 2

IdentifierTypeStateIssuer
00J21AOtherTXMEDICARE GROUP NUMBER
094010801OtherTXMEDICAID GROUP NUMBER

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Oct 1, 2012 Accepting new patients
Timberland Medical Group CurrentSince Oct 1, 2012 Accepting new patients
NWTX Physician Network, PLLC Past Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

6875 FM 1488 Rd
Ste 1400
Magnolia, TX 77354
Phone (281) 259-9032

6056 FM 2920 Rd
Spring, TX 77379
Phone (281) 374-0011

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1699856146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 FM 1488 RD",
            "address_2": "SUITE 1400",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544520",
            "telephone_number": "281-259-9943",
            "fax_number": "281-259-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6875 FM 1488 RD",
            "address_2": "SUITE 1400",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544520",
            "telephone_number": "281-259-9943",
            "fax_number": "281-259-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY LEWANDOWSKI",
        "first_name": "PATRICIA",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT00285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00J21A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "094010801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.