Active NPI
Kelly M Rozier, R.D., L.D.
- Registered Dietitian
- Waxahachie, TX
National Provider Identifier
1376731315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT07454
- Practice address
- 209 E Main St
Waxahachie, TX 75165-3755 - Phone
- (469) 383-8334
- Fax
- (888) 356-0401
- NPI assigned
- Oct 3, 2007
- 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 | DT07454 | TX | Primary |
Addresses
Primary practice location
209 E Main St
Waxahachie, TX 75165-3755
Mailing address
209 E Main St
Waxahachie, TX 75165-3755
Phone (469) 383-8334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196126001 | Medicaid | TX | |
| 8X7873 | Other | TX | BLUE CROSS BLUE SHIELD TX |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuel Your Intensity | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1376731315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E MAIN ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751653755",
"telephone_number": "469-383-8334",
"fax_number": "888-356-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E MAIN ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751653755",
"telephone_number": "469-383-8334",
"fax_number": "888-356-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZIER",
"first_name": "KELLY",
"middle_name": "M",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT07454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196126001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "8X7873",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.