Vicki Lee Kussmaul, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT05147 Issued in TX

Practice address

1600 Hospital Pkwy
Bedford, TX 76022-6913

Phone

(817) 685-4000

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harris Methodist Hospital Heb

  • General Acute Care Hospital
  • Bedford, TX
  • NPI 1750509998
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386849057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 STERLING DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347632",
            "telephone_number": "817-581-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HOSPITAL PKWY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226913",
            "telephone_number": "817-685-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSSMAUL",
        "first_name": "VICKI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna Rao MD PLLC
• Kroger Texas L P
• Manivara P Krone, DDS
• Nishi Kumar, M.D.
• Mangala S Kurada, M.D.
• Kwong Orthopedics and Sports Medicine, PLLC
• Peter C Kwong, MD1
• Kaitlyn Kyei, MS, SLP- CCC
• La Chinita Medical Clinic
• La Dora Management, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.