Kristen Priore, RD,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06677 Issued in TX

Practice address

5501 S Expressway 77
Harlingen, TX 78550-3213

Phone

(956) 365-1905

Fax

(956) 365-1875

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205973930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SANTA ANA AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759726",
            "telephone_number": "956-365-1905",
            "fax_number": "956-365-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S EXPRESSWAY 77",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503213",
            "telephone_number": "956-365-1905",
            "fax_number": "956-365-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIORE",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "PETERSON",
            "credential": "RD,LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.