Active NPI
Kate Lindsay Provost, R.D., L.D.
- Registered Dietitian
- Austin, TX
National Provider Identifier
1356781298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81459
- Practice address
- 2525 Wallingwood Dr
BLDG 8, Ste 800
Austin, TX 78746-6900 - Phone
- (512) 994-4594
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | DT81459 | TX | Primary |
Addresses
Primary practice location
2525 Wallingwood Dr
BLDG 8, Ste 800
Austin, TX 78746-6900
Mailing address
2525 Wallingwood Dr
BLDG 8, Ste 800
Austin, TX 78746-6900
Phone (512) 994-4594
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 |
|---|---|---|---|
| DT81459 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1356781298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR",
"address_2": "BLDG 8, STE 800",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466900",
"telephone_number": "512-994-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR",
"address_2": "BLDG 8, STE 800",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466900",
"telephone_number": "512-994-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVOST",
"first_name": "KATE",
"middle_name": "LINDSAY",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.