Individual provider Active NPI

Karla Whitley, R.D., L.D.

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1205179405
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT02831 Issued in TX
Practice address
10815 Sandpiper LN
Dallas, TX 75230-4472
Phone
(214) 763-7552
Fax
(844) 316-9732
NPI assigned
Apr 5, 2013
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 DT02831 TX Primary

Addresses

Primary practice location

10815 Sandpiper LN
Dallas, TX 75230-4472

Mailing address

10815 Sandpiper Lane
Dallas, TX 75230-4472
Phone (214) 763-7552

Other practice location 1

3330 N Galloway Ave # 304-93
Mesquite, TX 75150-4728
Phone (214) 763-7552

Other identifiers 1

IdentifierTypeStateIssuer
708159OtherCOMMISSION ON DIETETIC REGISTRATION

Other names 1

  • Miss Karla Picard Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220001386 TX Practitioner - Registered Dietitian Or Nutrition Professional 5496070120 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT02831TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kwnutrition Dietitian, Registered PastSince Sep 28, 2012 Accepting new patients

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, 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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1205179405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 SANDPIPER LANE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304472",
            "telephone_number": "214-763-7552",
            "fax_number": "844-316-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 SANDPIPER LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304472",
            "telephone_number": "214-763-7552",
            "fax_number": "844-316-9732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 N Galloway Ave # 304-93",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751504728",
            "country_code": "US",
            "telephone_number": "214-763-7552",
            "fax_number": "844-316-9732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "KARLA",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT02831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "708159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "PICARD",
            "prefix": "MISS",
            "credential": "RDN, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.