Individual provider Active NPI

Kristina Brown, RD, LD

  • Registered Dietitian
  • Tomball, TX
National Provider Identifier
1154975233
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86091515 Issued in TX
Practice address
22834 River Birch Dr
Tomball, TX 77375-5421
Phone
(281) 630-5717
NPI assigned
Jul 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DT85919 TX
Registered Dietitian 133V00000X 86091515 TX Primary

Addresses

Primary practice location

22834 River Birch Dr
Tomball, TX 77375-5421

Mailing address

22834 River Birch Dr
Tomball, TX 77375-5421
Phone (281) 630-5717

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT85919TXMDNutritionist
86091515TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fueling Families Nutrition, LLC Dietitian, Registered CurrentSince Feb 18, 2024 Accepting new patients

Locations

1296 FM 3083 Rd
Conroe, TX 77301
Phone (346) 268-7970

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": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1154975233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22834 RIVER BIRCH DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755421",
            "telephone_number": "281-630-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22834 RIVER BIRCH DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755421",
            "telephone_number": "281-630-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KRISTINA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TX",
            "license": "DT85919",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86091515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.