VICTOR NUTRITION CLINIC
NPI 1023654670
Dietitian, Registered in League City, TX

NPI Status: Active since November 19, 2019

Contact Information

2600 S SHORE BLVD STE 300
LEAGUE CITY, TX
ZIP 77573
Phone: (281) 436-9668
Fax: (281) 402-6286

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Dietitian, Registered
Accepts Insurance

About VICTOR NUTRITION CLINIC

This page provides the complete NPI Profile along with additional information for Victor Nutrition Clinic, a provider established in League City, Texas operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1023654670 assigned on November 2019. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Victor Nutrition Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Victor Nutrition Clinic. The authorized official of this NPI record is Dr. Madonna Marie Mamerow Phd, Rd, Ld (Owner/registered Dietitian)

NPI: 1023654670
Provider Legal Name: VICTOR NUTRITION, LLC
Other Organization Name: VICTOR NUTRITION CLINIC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2600 S SHORE BLVD STE 300 LEAGUE CITY, TX 77573
Location Phone: (281) 436-9668
Location Fax: (281) 402-6286
Mailing Address: PO BOX 433 GALVESTON, TX 77553
Mailing Phone: (281) 436-9668
Mailing Fax: (281) 402-6286
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-19-2019
Last Update Date: 01-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dietitian, Registered
Taxonomy Code: 133V00000X
Type: Dietary & Nutritional Service Providers
Taxonomy Description: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	133VN1005X	Dietary & Nutritional Service Providers	Dietitian, Registered Nutrition, Renal
2	133VN1006X	Dietary & Nutritional Service Providers	Dietitian, Registered Nutrition, Metabolic
3	133VN1101X	Dietary & Nutritional Service Providers	Dietitian, Registered Nutrition, Gerontological
4	133VN1201X	Dietary & Nutritional Service Providers	Dietitian, Registered Nutrition, Obesity and Weight Management

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Texas

Blue Advantage Bronze HMO? 204 - HMO
Blue Advantage Bronze HMO? 301 - HMO
Blue Advantage Bronze HMO? Standard - HMO
Blue Advantage Gold HMO? 206 - HMO
Blue Advantage Gold HMO? 603 - HMO
Blue Advantage Gold HMO? Standard - HMO
Blue Advantage Plus Bronze? 303 - POS
Blue Advantage Plus Bronze? 305 - POS
Blue Advantage Plus Bronze? Standard - POS
Blue Advantage Plus Gold? 203 - POS
Blue Advantage Plus Gold? 803 - POS
Blue Advantage Plus Gold? Standard - POS
Blue Advantage Plus Silver? 202 - POS
Blue Advantage Plus Silver? 605 - POS
Blue Advantage Plus Silver? Standard - POS
Blue Advantage Security HMO? 200 - HMO
Blue Advantage Silver HMO? 205 - HMO
Blue Advantage Silver HMO? 801 - HMO
Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. MADONNA MARIE MAMEROW PHD, RD, LD
Authorized Official Title: OWNER/REGISTERED DIETITIAN
Authorized Official Phone: (281) 469-9668

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023654670, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 2 + 5 + 8 + 6 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1023654670.