Individual provider Active NPI

Ashley Lovelady Koch, MS,RD,LD, CDE

  • Registered Dietitian
  • Beaumont, TX
National Provider Identifier
1013299924
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81892 Issued in TX
Practice address
3030 North St. Suite 560
Beaumont, TX 77702-1424
Phone
(409) 835-9834
Fax
(409) 895-3547
NPI assigned
Sep 16, 2011
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 DT81892 TX Primary

Addresses

Primary practice location

3030 North St. Suite 560
Beaumont, TX 77702-1424

Mailing address

1013 S 12TH St
Nederland, TX 77627-4303
Phone (409) 719-8176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000514 TX Practitioner - Registered Dietitian Or Nutrition Professional 8729251442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2246 Nall St
Christus Family Medicine Port Neches
Port Neches, TX 77651-4208
Phone (409) 722-4400

3030 N St
Beaumont, TX 77702-1434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT81892TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Oct 6, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 6, 2025 Accepting new patients

Locations

3030 North St
Ste 560
Beaumont, TX 77702
Phone (409) 835-9834

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

Networks

  • TX HMO D-SNP
  • TX HMO

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1013299924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 S 12TH ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274303",
            "telephone_number": "409-719-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST. SUITE 560",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021424",
            "telephone_number": "409-835-9834",
            "fax_number": "409-895-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ASHLEY",
        "middle_name": "LOVELADY",
        "credential": "MS,RD,LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.