Individual provider Active NPI

Viridiana M Olmos Castorena, MS, RD, LD

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1720552649
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86065460 Issued in TX
Practice address
12518 Cutten Rd
Houston, TX 77066-1804
Phone
(281) 251-5234
NPI assigned
Jan 14, 2019
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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 86065460 TX Primary

Addresses

Primary practice location

12518 Cutten Rd
Houston, TX 77066-1804

Mailing address

17615 Kenton Crossing LN
Richmond, TX 77407-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501000223 TX Practitioner - Registered Dietitian Or Nutrition Professional 0840532412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Damaris Vega MD PLLCGroup PAC ID 1759553613, 10 clinicians

Practice addresses (Care Compare)

13333 Dotson Rd
Suite 220
Houston, TX 77070-4305
Phone (281) 251-5234

Merit-based Incentive Payment System (MIPS)

Final score
93.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86065460TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Damaris Vega MD PLLC CurrentSince Jan 25, 2019 Accepting new patients

Locations

12518 Cutten Rd
Houston, TX 77066
Phone (281) 251-5234

13333 Dotson Rd
Ste 220
Houston, TX 77070
Phone (281) 251-5234

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1720552649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 KENTON CROSSING LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774070888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12518 CUTTEN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661804",
            "telephone_number": "281-251-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMOS CASTORENA",
        "first_name": "VIRIDIANA",
        "middle_name": "M",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86065460",
            "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 Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.