Individual provider Active NPI

Michaela Slatniske, PHD, RD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1003640244
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND13488 Issued in FL
Practice address
2105 East MLK Blvd
#111
Austin, TX 78702
Phone
(512) 309-1650
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND13488 FL Primary

Addresses

Primary practice location

2105 East MLK Blvd
#111
Austin, TX 78702

Mailing address

11451 White Cap CT
Jacksonville, FL 32256-8036
Phone (910) 584-4011

Other practice location 1

11451 White Cap Ct
Jacksonville, FL 32256-8036
Phone (910) 584-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ND13488FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Vedic Nutrition LLC Dietitian, Registered CurrentSince Jun 8, 2025 Accepting new patients

Locations

1401 21st St
Ste R
Sacramento, CA 95811
Phone (316) 516-2853

2105 E Mlk Blvd
Austin, TX 78702
Phone (512) 309-1650

5900 Balcones Dr
#21821
Austin, TX 78731
Phone (512) 309-1650

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1003640244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11451 WHITE CAP CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568036",
            "telephone_number": "910-584-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 EAST MLK BLVD",
            "address_2": "#111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "512-309-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11451 White Cap Ct",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322568036",
            "country_code": "US",
            "telephone_number": "910-584-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATNISKE",
        "first_name": "MICHAELA",
        "name_prefix": "Dr.",
        "credential": "PHD, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND13488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.