Individual provider Active NPI

Kirsten Abbott

  • Registered Dietitian
  • Lakewood, CO
National Provider Identifier
1336966530
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86391476 Issued in TX
Practice address
14082 W Amherst CT
Lakewood, CO 80228-5306
Phone
(720) 355-6107
NPI assigned
Sep 20, 2024
Last updated
May 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86391476 TX Primary

Addresses

Primary practice location

14082 W Amherst CT
Lakewood, CO 80228-5306

Mailing address

2911 Texas Ave S Ste 1000B
College Station, TX 77845-1184
Phone (936) 337-3223

Other practice location 1

2911 Texas Ave S Ste 1000B
College Station, TX 77845-1184
Phone (936) 337-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1217 Ave M
Suite 113
Huntsville, TX 77340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86391476TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Basic Balance Nutrition, Inc. Dietitian, Registered CurrentSince Jul 1, 2026 Accepting new patients
Bradley Management LLC Dietitian, Registered Past Accepting new patients
Dietitian Direct Inc Dietitian, Registered PastSince Jul 1, 2026 Accepting new patients

Locations

303 Longmire Rd
Ste 7013
Conroe, TX 77304
Phone (936) 337-3223

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1336966530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TEXAS AVE S STE 1000B",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451184",
            "telephone_number": "936-337-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14082 W AMHERST CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802285306",
            "telephone_number": "720-355-6107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Texas Ave S Ste 1000B",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778451184",
            "country_code": "US",
            "telephone_number": "936-337-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86391476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.