Individual provider Active NPI

Jamille Ednee Garriga, DIETITIAN

  • Registered Dietitian
  • Sugar Land, TX
National Provider Identifier
1912140146
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT03855 Issued in TX
Practice address
938 Poydras St
Sugar Land, TX 77498-6355
Phone
(281) 808-5339
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT03855 TX Primary

Addresses

Primary practice location

938 Poydras St
Sugar Land, TX 77498-6355

Mailing address

938 Poydras St
Sugar Land, TX 77498-6355
Phone (281) 808-5339

Other identifiers 1

IdentifierTypeStateIssuer
DT03855OtherTXTEXAS DIETITIAN LICENSURE NUMBER

Other names 1

  • Jamille Bond Other 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT03855TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1912140146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 POYDRAS ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774986355",
            "telephone_number": "281-808-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 POYDRAS ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774986355",
            "telephone_number": "281-808-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIGA",
        "first_name": "JAMILLE",
        "middle_name": "EDNEE",
        "credential": "DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT03855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DIETITIAN LICENSURE NUMBER",
            "identifier": "DT03855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMILLE",
            "last_name": "BOND",
            "credential": "DIETITIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.