Kara (Rae) Rae Boswell, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85489 Issued in TX

Practice address

630 N Kimball Ave Ste 110
Southlake, TX 76092-6887

Phone

(972) 422-9180

NPI assigned

Aug 22, 2011

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kara Rae Hanan Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Keepcare LLC

  dba IntegraLife

  • Registered Dietitian
  • Austin, TX
  • NPI 1508628819

  Dietitian, Registered

  Medicare reassignment NPD
• Nutriphasics, LLC

  dba Lemond Nutrition

  • Registered Dietitian
  • Plano, TX
  • NPI 1982917126

  Dietitian, Registered

  Medicare reassignment NPD
• Boswell Nutrition, PLLC

  • Registered Dietitian
  • Oklahoma City, OK
  • NPI 1174807168

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1245510247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756938",
            "telephone_number": "972-422-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926887",
            "telephone_number": "972-422-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "KARA (RAE)",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "HANAN",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "MS, RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grant Alexander Bond, M.D.
• Lauren Bone
• Joseph A Bonola, DDS
• Amber Dawn Bontke, FNP
• Abriyannah Booker
• Kelli Bouck, BCBA
• Boulevard Diagnostic Management Group, LLC
• Boulevard Diagnostic MGMT Group
• Elizabeth Marie Bourg, DPT
• Angela G Bowers, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.