Active NPI
Madelyn Krumenacher, MS, RD, CD
- Registered Dietitian
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3724 Jefferson St Ste 104
Austin, TX 78731-6204 - Phone
- (262) 720-8333
- NPI assigned
- Sep 19, 2024
- 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 | Primary |
Addresses
Primary practice location
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Mailing address
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Phone (262) 720-8333
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
515 S Flower St
#1015
Los Angeles, CA 90071
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
1806 Highway 35
Ste 203A
Oakhurst, NJ 07755
10260 SW Greenburg Rd
Fl 44
Portland, OR 97223
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
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": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1245067412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316204",
"telephone_number": "262-720-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316204",
"telephone_number": "262-720-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUMENACHER",
"first_name": "MADELYN",
"credential": "MS, RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.