Carol Conklin Curtis, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

648286 Issued in IL

Practice address

700 Rockmead Dr
Suite 246
Kingwood, TX 77339-2103

Phone

(281) 733-9475

Fax

(281) 852-8488

NPI assigned

Feb 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carol Ann Conklin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dcoa Physician Associates PA

  • Medical Specialty Clinic/Center
  • Humble, TX
  • NPI 1861672172
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1922277490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9473 FM1960 ROAD W BYPASS",
            "address_2": "SUITE 300",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-733-9475",
            "fax_number": "281-852-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ROCKMEAD DR",
            "address_2": "SUITE 246",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392103",
            "telephone_number": "281-733-9475",
            "fax_number": "281-852-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "CAROL",
        "middle_name": "CONKLIN",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "648286",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT00759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "CONKLIN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Cummings, LCSW
• Lewis Conner Cummings, DDS MS
• Milda Alis Cummings, PMHNP, MSN, RN
• Sonya Cunningham, OTR/L
• Alexis Ann Curbey
• Isabella Curtis
• Keira Curtis
• Michael C Cusick
• Tiffany Ruth Cutbirth, ANP
• CVS Pharmacy Inc

• Registered Dietitian in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.