Active NPI
Klacie Norris, RD
- Registered Dietitian
- Fort Worth, TX
National Provider Identifier
1124554563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT83698
- Practice address
- 801 W Shaw St
Apt 306
Fort Worth, TX 76110-4075 - Phone
- (409) 626-4835
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT83698 | TX | Primary |
Addresses
Primary practice location
801 W Shaw St
Apt 306
Fort Worth, TX 76110-4075
Mailing address
801 W Shaw St
Apt 306
Fort Worth, TX 76110-4075
Phone (409) 626-4835
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT83698 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1124554563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W SHAW ST",
"address_2": "APT 306",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761104075",
"telephone_number": "409-626-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W SHAW ST",
"address_2": "APT 306",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761104075",
"telephone_number": "409-626-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "KLACIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- William Barry Norman, PH.D.
- William Gregory Blake Norman, D.C.
- Normand F. Tremblay, M.D. P.a.
- Jennifer Norrell, L.C.S.W.
- Jill Norris-Smith, SLP
- Lashindra Joynelle Fisher Norris, NP
- Margaret M Norstebon, L.P.T.
- North Central Texas Home Care, Inc.
- North Central Texas Infectious Disease Group PA
- Ame North Farmer, L.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.