Functional Dietetics of Texas, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FUNCTIONAL DIETETICS OF TEXAS, LLC

Practice address

4630 Magnolia Cove Dr Apt 1131
Kingwood, TX 77345-2155

Phone

(281) 615-3708

NPI assigned

Nov 8, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sarah Millard, RDN, LD

Title

Managing Member

Phone

(281) 615-3708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1760027221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 MAGNOLIA COVE DR APT 1131",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 MAGNOLIA COVE DR APT 1131",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452155",
            "telephone_number": "281-615-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL DIETETICS OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-615-3708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.