Active NPI
Jason Stevens, DCN, RD, LD
- Registered Dietitian
- Round Rock, TX
National Provider Identifier
1457695652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006682
- Practice address
- 936 Ray Berglund Blvd
Round Rock, TX 78664-2036 - Phone
- (512) 787-6204
- NPI assigned
- Nov 12, 2012
- Sex
- Male
- 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 | L006682 | NC | Primary |
Addresses
Primary practice location
936 Ray Berglund Blvd
Round Rock, TX 78664-2036
Mailing address
936 Ray Berglund Blvd
Round Rock, TX 78664-2036
Phone (512) 787-6204
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L006682 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1457695652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 RAY BERGLUND BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642036",
"telephone_number": "512-787-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 RAY BERGLUND BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642036",
"telephone_number": "512-787-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "DCN, RD, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-12",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.