Individual provider Active NPI

Ann Elizabeth Redwine, RD, LD, CDE

  • Registered Dietitian
  • Bellaire, TX
National Provider Identifier
1942574454
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85778 Issued in TX
Practice address
6500 West Loop S Ste 200B
Bellaire, TX 77401-3535
Phone
(713) 486-2919
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X 1283 AR
Registered Dietitian 133V00000X DT85778 TX Primary

Addresses

Primary practice location

6500 West Loop S Ste 200B
Bellaire, TX 77401-3535

Mailing address

29030 Zacate Creek LN
Fulshear, TX 77441-1878
Phone (501) 515-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120601000101 AR Practitioner - Registered Dietitian Or Nutrition Professional 6204099286 Reassigns benefits to 1 organization
I20190507001426 TX Practitioner - Registered Dietitian Or Nutrition Professional 6204099286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

5420 Dashwood Dr
Suite 102
Houston, TX 77081-5333
Phone (713) 486-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1283ARMDChiropractor
DT85778TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince May 7, 2012 Accepting new patients
Baptist Health CurrentSince May 7, 2012 Accepting new patients
Ut Physicians CurrentSince Apr 1, 2019 Accepting new patients
Ut Physicians CurrentSince Apr 1, 2019 Accepting new patients

Locations

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

6500 West Loop S
Ste 200B
Bellaire, TX 77401
Phone (713) 486-2900

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

5420 Dashwood Dr
Ste 102
Houston, TX 77081
Phone (713) 486-2990

Organizations & group practices 4

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1942574454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29030 ZACATE CREEK LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411878",
            "telephone_number": "501-515-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535",
            "telephone_number": "713-486-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWINE",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1283",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.