Kerry Mitchell Swacker, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT05772 Issued in TX

Practice address

168 Deer Creek Dr
Aledo, TX 76008-3900

Phone

(817) 343-1619

NPI assigned

Nov 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Kerry Lynn Mitchell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1437588373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 DEER CREEK DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760083900",
            "telephone_number": "817-343-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 DEER CREEK DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760083900",
            "telephone_number": "817-343-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWACKER",
        "first_name": "KERRY",
        "middle_name": "MITCHELL",
        "name_prefix": "Miss",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TX",
            "license": "DT05772",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05772",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT05772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "MITCHELL",
            "middle_name": "LYNN",
            "credential": "RD, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Hammond Steward, PHARMD
• Angela Stickels, LPC, LCDC
• Matthew Gorman Stine, DO
• Terri L Stitle, NP
• Elise Sutton, AU.D.
• Jessica Tabor
• Zian Ijang Takwi Omene, PMHNP- BC, FNP-C
• Derril Winston Teague, MA, LPC ASSOCIATE
• Katelynn Teufel
• Texas Family Chiropractic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.