Active NPI
Kristina Marie McCarthy, MCN, RD, LD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1265111959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT85649
- Practice address
- 4501 Spicewood Springs Rd Ste 1022
Austin, TX 78759-8543 - Phone
- (512) 257-0898
- Fax
- (512) 792-9912
- NPI assigned
- Jul 12, 2023
- 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 | DT85649 | TX | Primary |
Addresses
Primary practice location
4501 Spicewood Springs Rd Ste 1022
Austin, TX 78759-8543
Mailing address
11925 Snow Finch Rd
Austin, TX 78758-3307
Phone (810) 348-7491
Other names 1
- Krissy McCarthy
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT85649 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparkman Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
| Wilfong Nutrition Limited Liability Company | Dietitian, Registered | Past | Accepting new patients |
| Health Loft Services LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
4501 Spicewood Springs Rd
Ste 1022
Austin, TX 78759
Phone (512) 257-0898
7701 N Lamar Blvd
Ste 402
Austin, TX 78752
Phone (512) 257-0898
Organizations & group practices 3
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.
-
- Registered Dietitian
- West Lake Hills, TX
- NPI 1518464650
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1265111959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11925 SNOW FINCH RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583307",
"telephone_number": "810-348-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 SPICEWOOD SPRINGS RD STE 1022",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598543",
"telephone_number": "512-257-0898",
"fax_number": "512-792-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"credential": "MCN, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT85649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISSY",
"last_name": "MCCARTHY",
"credential": "MCN, RD, LD",
"code": "2",
"type": "Professional Name"
}
]
}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 Jul 12, 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.