Active NPI
Ka Pui Eliza Chan
- Registered Dietitian
- Odessa, TX
National Provider Identifier
1942565783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82194
- Practice address
- 520 E 6TH St
Odessa, TX 79761-4527 - Phone
- (432) 582-8381
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82194 | TX | Primary |
Addresses
Primary practice location
520 E 6TH St
Odessa, TX 79761-4527
Mailing address
520 E 6TH St,
Odessa Regional Medical Center
Odessa, TX 79761
Phone (432) 582-8381
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT82194 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1942565783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 6TH ST,",
"address_2": "ODESSA REGIONAL MEDICAL CENTER",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-582-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E 6TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614527",
"telephone_number": "432-582-8381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "KA PUI ELIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.