Active NPI
Randi M Boleman, PHD, RD, LD, CSSD
- Registered Dietitian
- Houston, TX
National Provider Identifier
1821478827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 950484
- Practice address
- 2520 Robinhood St Apt 403
Houston, TX 77005-2550 - Phone
- (979) 255-7673
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 950484 | TX | |
| Registered Dietitian | 133V00000X | DT80230 | TX | |
| Registered Dietitian | 133V00000X | 950484 | Primary |
Addresses
Primary practice location
2520 Robinhood St Apt 403
Houston, TX 77005-2550
Mailing address
2520 Robinhood St Apt 403
Houston, TX 77005-2550
Phone (979) 255-7673
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT80230 | TX | MD | Registered Dietitian |
| 950484 | TX | MD | Sports Dietetics Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1821478827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 ROBINHOOD ST APT 403",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770052550",
"telephone_number": "979-255-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ROBINHOOD ST APT 403",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770052550",
"telephone_number": "979-255-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLEMAN",
"first_name": "RANDI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD, RD, LD, CSSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2024-07-09",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "TX",
"license": "950484",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80230",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "950484",
"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 Jul 9, 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.