Active NPI
So Nutrition, LLC
- Registered Dietitian
- Katy, TX
National Provider Identifier
1811247158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80576
- Legal business name
- SO NUTRITION, LLC
- Practice address
- 5318 Dandelion Meadow LN
Katy, TX 77494-4887 - Phone
- (281) 394-5734
- NPI assigned
- Sep 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stephanie L Oullette, RD
- Title
- Owner
- Phone
- (281) 394-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80576 | TX | Primary |
Addresses
Primary practice location
5318 Dandelion Meadow LN
Katy, TX 77494-4887
Mailing address
5318 Dandelion Meadow LN
Katy, TX 77494-4887
Phone (281) 394-5734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21815 Oak Park Trails Dr
Katy, TX 77450
Phone (281) 684-4733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349740800000",
"number": "1811247158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5318 DANDELION MEADOW LN",
"city": "KATY",
"state": "TX",
"postal_code": "774944887",
"telephone_number": "281-394-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5318 DANDELION MEADOW LN",
"city": "KATY",
"state": "TX",
"postal_code": "774944887",
"telephone_number": "281-394-5734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SO NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-13",
"last_updated": "2012-10-09",
"status": "A",
"authorized_official_last_name": "OULLETTE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-394-5734",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.