Individual provider Active NPI

Victoria Amanda Padilla, Ms, Rd, LD, MS, RD, LD

  • Registered Dietitian
  • West Lake Hills, TX
National Provider Identifier
1790506863
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT88587 Issued in TX
Practice address
303 Reveille Rd
West Lake Hills, TX 78746-5337
Phone
(512) 843-1681
NPI assigned
Oct 22, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 DT88587 TX Primary

Addresses

Primary practice location

303 Reveille Rd
West Lake Hills, TX 78746-5337

Mailing address

303 Reveille Rd
West Lake Hills, TX 78746-5337
Phone (512) 843-1681

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT88587TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wilfong Nutrition Limited Liability Company Dietitian, Registered CurrentSince Oct 27, 2024 Accepting new patients

Locations

1000 Westbank Dr
Unit 6-250
West Lake Hills, TX 78746
Phone (512) 200-3880

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": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1790506863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 REVEILLE RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465337",
            "telephone_number": "512-843-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 REVEILLE RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465337",
            "telephone_number": "512-843-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA, MS, RD, LD",
        "first_name": "VICTORIA",
        "middle_name": "AMANDA",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT88587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.