NPIMap

Organization Active NPI

Solasage Nutrition and Diabetes LLC

  • Registered Dietitian
  • The Woodlands, TX
National Provider Identifier
1881139467
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT80166 Issued in TX
Legal business name
SOLASAGE NUTRITION AND DIABETES LLC
Practice address
2002 Timberloch PL
Ste 200
The Woodlands, TX 77380-1171
Phone
(281) 989-0453
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Heather Ktenidis, RDN, CDENPI 1952636482
Title
Owner
Phone
(281) 989-0453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT80166 TX Primary

Addresses

Primary practice location

2002 Timberloch PL
Ste 200
The Woodlands, TX 77380-1171

Mailing address

2002 Timberloch PL
Ste 200
The Woodlands, TX 77380-1171
Phone (281) 989-0453

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1881139467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 TIMBERLOCH PL",
            "address_2": "STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801171",
            "telephone_number": "281-989-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 TIMBERLOCH PL",
            "address_2": "STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801171",
            "telephone_number": "281-989-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLASAGE NUTRITION AND DIABETES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "KTENIDIS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-989-0453",
        "authorized_official_credential": "RDN, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.