Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Madonna M Mamerow, PHD, RDN, LD

Individual provider Registered Dietitian · NPI 1104488220

Dr. Madonna M Mamerow, PHD, RDN, LD is a Registered Dietitian OR Nutrition Professional in League City, Texas. Qualified in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

2600 S Shore Blvd Ste 300
League City, TX 77573-2944
Phone: (281) 436-9668
Fax: (833) 259-9548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT86015 (TX)

Record details

NPI number1104488220
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , RDN , LD
Sole proprietorYes
NPI enumeratedJune 28, 2019
Last updated in NPPESSeptember 3, 2022
Certification dateSeptember 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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