NPIMap

Organization Active NPI

Diabetes America, LLC

  • Metabolic Nutrition Registered Dietitian
  • Houston, TX
National Provider Identifier
1992170161
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DT80784 Issued in TX
Legal business name
DIABETES AMERICA, LLC
Practice address
13100 Northwest Fwy
Houston, TX 77040-6310
Phone
(832) 237-3500
Fax
(281) 897-9906
NPI assigned
Dec 14, 2015
Organization subpart
Yes
Parent organization
DCOA-PA, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Nakeva Tilley
Title
Director of Operations
Phone
(713) 840-5153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1006X DT80784 TX Primary

Addresses

Primary practice location

13100 Northwest Fwy
Houston, TX 77040-6310

Mailing address

4011 Avenue S 1/2
Galveston, TX 77550-8637
Phone (409) 795-1344

Other identifiers 1

IdentifierTypeStateIssuer
DT80784OtherTXLD

National Provider Directory

National Provider Directory
Tax ID family
Diabetes America5 organizations share this tax ID, including this one
Part of
Dcoa Physicians PA

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13100 Northwest Fwy
Houston, TX 77040
Phone (713) 877-8447

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1992170161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 AVENUE S 1/2",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775508637",
            "telephone_number": "409-795-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 NORTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406310",
            "telephone_number": "832-237-3500",
            "fax_number": "281-897-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AMERICA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DCOA-PA, PA",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "NAKEVA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "713-840-5153"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT80784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LD",
            "identifier": "DT80784",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.