Allyson Pendergrass, RD, LDN
Dietitian, Registered in Houston, TX. Individual provider (NPI-1).
NPI number1043969769
StatusActive
Last updated in NPPESMar 23, 2024
Details
- NPI
- 1043969769
- Entity type
- Individual (NPI-1)
- Name
- Allyson Pendergrass
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2022
- Certification date
- Mar 23, 2024
- Last updated
- Mar 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT87597 | TX | Yes |
Practice location
845 Texas StHouston, TX 77002-2858
Phone 281-896-6512
Mailing address
3001 Macoma AvePearland, TX 77581-1729
Phone 281-896-6512
Other practice locations
4402 Lillian St Unit 1
Houston, TX 77007-5675
Houston, TX 77007-5675
Phone 281-896-6512
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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