Victor Nutrition, LLC
NPI 1023654670 · Registered Dietitian · League City, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victor Nutrition, LLC is a Registered Dietitian organization in League City, TX (NPI 1023654670).
Provider details
- NPI number
- 1023654670
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Madonna Mamerow, Owner/Registered Dietitian(281) 469-9668
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Renal Nutrition Registered Dietitian133VN1005X
Dietary & Nutritional Service Providers
- Metabolic Nutrition Registered Dietitian133VN1006X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Victor Nutrition Clinic
Registry dates
- Enumerated
- 2019-11-19
- Last updated
- 2025-01-10
- Certified
- 2025-01-10
Frequently asked questions
- What is Victor Nutrition, LLC's NPI number?
- Victor Nutrition, LLC's National Provider Identifier (NPI) is 1023654670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victor Nutrition, LLC?
- Victor Nutrition, LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Victor Nutrition, LLC located?
- Victor Nutrition, LLC's practice location on file with NPPES is 2600 S Shore Blvd Ste 300, League City, TX 77573-2944.
- What is Victor Nutrition, LLC's phone number?
- The practice phone number listed in the NPPES registry for Victor Nutrition, LLC is (281) 436-9668.
- Does Victor Nutrition, LLC accept Medicare?
- Victor Nutrition, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Victor Nutrition, LLC?
- The authorized official listed on Victor Nutrition, LLC's NPPES record is Madonna Mamerow, Owner/Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victor Nutrition, LLC's NPI active?
- Yes — Victor Nutrition, LLC's NPI (1023654670) is active in the NPPES registry as of the last update on 2025-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.