Katie Lynn Dickey

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT87617 Issued in TX

Practice address

4100 Shallow Creek Loop
College Station, TX 77845-7358

Phone

(830) 456-2208

NPI assigned

Sep 26, 2024

Last updated

Sep 26, 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

Medicare fee-for-service enrollment

Enrolled in TX, IA, WI, GA, DC, AZ, WA7 enrollments

Enrollment records 7

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4

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.

• Season Clinical Care P.a.

  dba Season Health

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  AZ, DC, Dietitian, Registered, GA, IA, WA, WI

  Medicare reassignment NPD
• Surely Health, Inc.

  dba Season Health

  • Registered Dietitian
  • Irving, TX
  • NPI 1053078360

  AZ, Dietitian, Registered, GA

  Medicare reassignment NPD
• Uhling Consulting, LLC

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1609171636

  Dietitian, Registered

  Medicare reassignment NPD
• Basic Balance Nutrition, Inc.

  • Registered Dietitian
  • Huntsville, TX
  • NPI 1629582796

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1336967637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SHALLOW CREEK LOOP",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457358",
            "telephone_number": "830-456-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SHALLOW CREEK LOOP",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457358",
            "telephone_number": "830-456-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dever, LPC, LMFT, LCDC
• Pooja Dhananjayan, MD
• Alyssa Renee Diaz
• Kyle Russell Diblasi
• Samuel Wendell Dickerson, DO
• Alexandra Dickinson
• Joseph Ryan Dickson, DDS
• Audrey Theresa Dineiro, M.S., CCC-SLP
• Mary R. Dinkel, LPC
• Deborah Williams Dixon, CRNA

• Registered Dietitian in College Station, TX
• Providers in College Station, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.