Andrea N Kordic, MS, RDN, LD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

86198535 Issued in TX

Practice address

3809 Bellaire Dr
Garland, TX 75040-3431

Phone

(469) 387-6974

NPI assigned

Apr 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1144076522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 BELLAIRE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 BELLAIRE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403431",
            "telephone_number": "469-387-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDIC",
        "first_name": "ANDREA",
        "middle_name": "N",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86198535",
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "TX",
            "license": "86198535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viji Koduvath
• Kohealthtechnologies LLC
• Ronald Edward Kohlstrand Jr., D.C.
• Caitlinn Kolibaba, DDS
• Susan H Koo, D.D.S.
• Zainabu Koroma, FNP
• Sally Koshy, RN, BSN
• Robert Andrew Kotas, M.D.
• Daniel Krall, PSYCHOLOGIST
• Bradley J Kresge, MPT

• Sports Dietetics Nutrition Registered Dietitian in Garland, TX
• Providers in Garland, TX by specialty
• Sports Dietetics Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.