Provider Demographics
NPI:1235014762
Name:MONESTIME, NAOMIE (RDN, LDN)
Entity type:Individual
Prefix:
First Name:NAOMIE
Middle Name:
Last Name:MONESTIME
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 BARKER CYPRESS RD APT 6107
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8250
Mailing Address - Country:US
Mailing Address - Phone:631-268-9092
Mailing Address - Fax:
Practice Address - Street 1:12500 BARKER CYPRESS RD APT 6107
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8250
Practice Address - Country:US
Practice Address - Phone:631-268-9092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT90457133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered