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

Active since November 19, 2019
2600 S SHORE BLVD STE 300, LEAGUE CITY, TX 77573(281) 436-9668(281) 402-6286 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Sep 3, 2022, May 8, 2022 and 1 more (4 updates tracked since 2019).

About Victor Nutrition Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR NUTRITION CLINIC (NPI 1023654670) is a healthcare organization registered as a dietitian, registered in League City, Texas and active in the NPI registry since November 2019. The organization lists Madonna Marie Mamerow, Owner/registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1023654670
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameVICTOR NUTRITION, LLC
Location Address2600 S SHORE BLVD STE 300League City, TX 77573-2944
Mailing AddressPo Box 433Galveston, TX 77553-0433 · (281) 436-9668 · Fax (833) 259-9548
Phone(281) 436-9668
Fax(281) 402-6286
Organization SubpartNo
Authorized OfficialMadonna Marie MamerowOwner/registered Dietitian · (281) 469-9668
Enumeration DateNovember 19, 2019
Last NPPES UpdateJanuary 10, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1023654670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
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.
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
Also ListedDietitian, Registered · Nutrition, GerontologicalTaxonomy 133VN1101X
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X
2600 S SHORE BLVD STE 300, League City, TX 77573
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Other Names 1

Doing Business AsVictor Nutrition Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADONNA M MAMEROW PHD, RDN, LD
Dietitian, Registered
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (281) 436-9668
LENUS HEALTHCARE
In Home Supportive Care
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (281) 668-9142
ANNA JEANNE DYER M.A., LPC
Counselor (Mental Health)
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (469) 431-2794
MAHTAB MORADI LMFT
Marriage & Family Therapist
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (832) 205-8658
SISTERS WITH AMBITION LLC
In Home Supportive Care
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (404) 431-5645
DIVINE LIVING PERSONAL CARE LLC
In Home Supportive Care
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (800) 613-0781
FELICITY PALLIATIVE & HOSPICE CARE LLC.
Hospice Care, Community Based
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (346) 332-5811
THE CENTER FOR COUPLES & FAMILIES
Community/Behavioral Health
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (281) 317-7326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Nutrition, LLC's NPI number?

The NPI number for Victor Nutrition, LLC is 1023654670. It was assigned to this organization in the NPPES registry on November 19, 2019. The provider is doing business as Victor Nutrition Clinic.

Where is Victor Nutrition, LLC located?

Victor Nutrition, LLC is located at 2600 S Shore Blvd Ste 300, League City, TX 77573. The listed phone number is (281) 436-9668.

What is Victor Nutrition, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

What insurance does Victor Nutrition, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Victor Nutrition, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victor Nutrition, LLC was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.