Individual provider Active NPI

Emily Sanford Kinsella, RD, LD

  • Registered Dietitian
  • West Lake Hills, TX
National Provider Identifier
1407728983
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT90362 Issued in TX
Practice address
3939 Bee Caves Rd Ste A204
West Lake Hills, TX 78746-6429
Phone
(469) 999-5688
Fax
(512) 500-0162
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT90362 TX Primary

Addresses

Primary practice location

3939 Bee Caves Rd Ste A204
West Lake Hills, TX 78746-6429

Mailing address

3939 Bee Caves Rd Ste A204
West Lake Hills, TX 78746-6429
Phone (512) 537-8195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 23, 2025 through Sep 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT90362TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1407728983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 BEE CAVES RD STE A204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466429",
            "telephone_number": "512-537-8195",
            "fax_number": "512-500-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 BEE CAVES RD STE A204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466429",
            "telephone_number": "469-999-5688",
            "fax_number": "512-500-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSELLA",
        "first_name": "EMILY",
        "middle_name": "SANFORD",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT90362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.