Active NPI
Mary Ann Sia Lantigua
- Registered Dietitian
- Houston, TX
National Provider Identifier
1831673037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84690
- Practice address
- 6410 Fannin St Ste 170
Houston, TX 77030-3003 - Phone
- (832) 325-6500
- NPI assigned
- Sep 24, 2018
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT84690 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 170
Houston, TX 77030-3003
Mailing address
6410 Fannin St Ste 170
Houston, TX 77030-3003
Phone (832) 325-6500
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 |
|---|---|---|---|
| DT84690 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitians at Home Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
2003 W Fulton St
Ste 105
Chicago, IL 60612
Phone (312) 850-3437
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1831673037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 170",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303003",
"telephone_number": "832-325-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 170",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303003",
"telephone_number": "832-325-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTIGUA",
"first_name": "MARY ANN",
"middle_name": "SIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84690",
"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 Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.