Active NPI
Kristen Elizabeth Shives, RDN, LD
- Registered Dietitian
- Katy, TX
National Provider Identifier
1316528664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86102056
- Practice address
- 411 Park Grove Dr Ste 720
Katy, TX 77450-1577 - Phone
- (713) 997-9613
- NPI assigned
- Apr 19, 2021
- 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 | 86102056 | Primary |
Addresses
Primary practice location
411 Park Grove Dr Ste 720
Katy, TX 77450-1577
Mailing address
3232 Laurel Bend LN
Pearland, TX 77584-4569
Phone (240) 291-8481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT86882 | Other | TX | LICENSED DIETITIAN |
| 86102056 | Other | REGISTERED DIETITIAN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1316528664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 LAUREL BEND LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844569",
"telephone_number": "240-291-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 PARK GROVE DR STE 720",
"city": "KATY",
"state": "TX",
"postal_code": "774501577",
"telephone_number": "713-997-9613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIVES",
"first_name": "KRISTEN",
"middle_name": "ELIZABETH",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86102056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN",
"identifier": "DT86882",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "86102056",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.