Marcella Kissko, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86316 Issued in TX

Practice address

2911 Medical Arts St Ste 9
Austin, TX 78705-3302

Phone

(512) 522-7793

Fax

(818) 484-2316

NPI assigned

Dec 9, 2019

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

Other names 1

• Marcie Kissko Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tina Laboy Nutrition Therapy LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1205394939

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1376180356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-522-7793",
            "fax_number": "818-484-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-522-7793",
            "fax_number": "818-484-2316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14101 W Hwy 290 BUILDING 1100 SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78737",
            "country_code": "US",
            "telephone_number": "512-522-7793",
            "fax_number": "818-484-2316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3432 Greystone Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787312371",
            "country_code": "US",
            "telephone_number": "512-522-7793",
            "fax_number": "818-484-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSKO",
        "first_name": "MARCELLA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIE",
            "last_name": "KISSKO",
            "credential": "RD, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Doris Kisel
• John W Kish, MD
• Karen Marie Kish, MD
• Danielle Kislin, APRN
• Karen Kissh, OTR/L
• Gretchen Juliet Kissling, SLP-ASSISTANT
• Lauren Michelle Kissock, PA-S
• Cara Lee Kist, R.N., C.P.N.P
• Devin Blake Kitch, PT, DPT
• Andrew George Philip Kitcher, M.D.

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; 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.