Nutrition Sense

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT04664 Issued in TX

Legal business name

NUTRITION SENSE

Practice address

110 Dove Crest Dr
Boerne, TX 78006-7828

Phone

(210) 415-0165

Fax

(888) 512-4765

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Kerry Green, RD, LD

Title

Owner

Phone

(210) 415-0165

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1447507702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062035",
            "telephone_number": "210-415-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DOVE CREST DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780067828",
            "telephone_number": "210-415-0165",
            "fax_number": "888-512-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SENSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-415-0165",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT04664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB127190",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.