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Active NPI 1285573600 Individual Practitioner Female Practitioner

Nina De Mol Van Otterloo

Dietitian, Registered • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Nina De Mol Van Otterloo is a registered healthcare professional specializing in Dietitian, Registered in Lubbock, TX. Practice services are available at 3519 21ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3519 21st

Lubbock, TX 79410

Telephone 8067254386

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
72 Specialists

Practicing in Lubbock, TX (5148 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-23
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT92890

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jamie Hocker , MS, RD, LD

Dietitian, Registered

NPI 1063779635

Master of Science, Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 23, 2026

Registered at 3519 21ST, LUBBOCK, TX 79410 (Tel: 8067254386)

📍
Updated Business Mailing Address April 23, 2026

Registered at 3509 21ST STREET, 6TH FLOOR, LUBBOCK, TX 79410 (Tel: 8067254386)

NPI Profile Active March 28, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2026

Registered at 5815 VIRGINIA AVE, LUBBOCK, TX 794075470 (Tel: 4694735918)

📍
Updated Business Mailing Address March 28, 2026

Registered at 5815 VIRGINIA AVE, LUBBOCK, TX 794075470 (Tel: 4694735918)

👤
Provider Name / Credentials Updated March 28, 2026

Recorded as NINA DE MOL VAN OTTERLOO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2026

Dietitian, Registered (License #DT92890 in TX)

🟢
Initial NPI Registration & Enumeration March 28, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285573600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2026
Last Update: April 23, 2026
Sole Proprietor: No

Mailing Address

3509 21st Street, 6th Floor

Lubbock, TX 79410

Phone: 8067254386

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.