CCNC Nutrition, LLC.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06856 Issued in TX

Legal business name

CCNC NUTRITION, LLC.

Practice address

17121 Westheimer Rd
Houston, TX 77082-1259

Phone

(713) 242-1122

Fax

(866) 450-4726

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Allison Caesar, R.D., L.D.

Title

Registered & Licesned Dietitian, Ow

Phone

(713) 242-1122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1871781831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19010 SPRING MEADOWS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693820",
            "telephone_number": "713-242-1122",
            "fax_number": "866-450-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821259",
            "telephone_number": "713-242-1122",
            "fax_number": "866-450-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCNC NUTRITION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CAESAR",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "REGISTERED & LICESNED DIETITIAN, OW",
        "authorized_official_telephone_number": "713-242-1122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D., L.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Houston, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.