Individual provider Active NPI

Gavin Warren Lindsey McCort

  • Registered Dietitian
  • League City, TX
National Provider Identifier
1912757295
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87589 Issued in TX
Practice address
1805 S Egret Bay Blvd Apt 1707
League City, TX 77573-5498
Phone
(256) 529-5305
NPI assigned
Mar 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 DT87589 TX Primary

Addresses

Primary practice location

1805 S Egret Bay Blvd Apt 1707
League City, TX 77573-5498

Mailing address

1805 S Egret Bay Blvd Apt 1707
League City, TX 77573-5498
Phone (256) 529-5305

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
DT87589TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients

Organizations & group practices 5

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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1912757295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S EGRET BAY BLVD APT 1707",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735498",
            "telephone_number": "256-529-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S EGRET BAY BLVD APT 1707",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735498",
            "telephone_number": "256-529-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORT",
        "first_name": "GAVIN",
        "middle_name": "WARREN LINDSEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.