Individual provider Active NPI

Johanna Cuesta Ulloa, LD, RD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1881939130
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85850 Issued in TX
Practice address
1210 W Braker LN
Austin, TX 78758-3801
Phone
(512) 978-9300
Fax
(512) 901-9737
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT85850 TX Primary
Registered Dietitian 133V00000X 1101653 NV

Addresses

Primary practice location

1210 W Braker LN
Austin, TX 78758-3801

Mailing address

1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9300

Other names 1

  • Johanna Marcela Cuesta Former name

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

LicenseStateTypeSpecialty
1101653NVMDRegistered Dietitian
DT85850TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Anders and Dunaway Nutrition Consultants, Inc. Dietitian, Registered PastSince Mar 27, 2022 Accepting new patients

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1881939130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583801",
            "telephone_number": "512-978-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583801",
            "telephone_number": "512-978-9300",
            "fax_number": "512-901-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA",
        "first_name": "JOHANNA",
        "middle_name": "CUESTA",
        "credential": "LD, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85850",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "1101653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "CUESTA",
            "middle_name": "MARCELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.