Active NPI
Trina I Boland, DIETITIAN
- Nutritionist
- Houston, TX
National Provider Identifier
1750492229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DT05574
- Practice address
- 300 W Little York Rd
Houston, TX 77076-1303 - Phone
- (713) 696-3131
- Fax
- (713) 696-2133
- NPI assigned
- Aug 31, 2006
- Last updated
- Oct 26, 2010
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DT05574 | TX | Primary |
Addresses
Primary practice location
300 W Little York Rd
Houston, TX 77076-1303
Mailing address
1302 N Shepherd Dr
Houston, TX 77008-3752
Phone (713) 696-3131
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT05574 | TX | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1750492229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 N SHEPHERD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770083752",
"telephone_number": "713-696-3131",
"fax_number": "713-696-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W LITTLE YORK RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770761303",
"telephone_number": "713-696-3131",
"fax_number": "713-696-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLAND",
"first_name": "TRINA",
"middle_name": "I",
"name_prefix": "Miss",
"credential": "DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "TX",
"license": "DT05574",
"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 Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.