Active NPI
Kyle Fielding Rose, RD, LD
- Registered Dietitian
- Denton, TX
National Provider Identifier
1467624858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80568
- Practice address
- 520 Driftwood Terrace
Denton, TX 76209 - Phone
- (903) 816-3657
- Fax
- (903) 416-2098
- NPI assigned
- Mar 26, 2008
- Last updated
- Mar 26, 2008
- Sex
- Male
- Sole proprietor
- No
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 | DT80568 | TX | Primary |
Addresses
Primary practice location
520 Driftwood Terrace
Denton, TX 76209
Mailing address
520 Driftwood Terrace
Denton, TX 76209
Phone (903) 816-3657
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)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Whitesboro, TX
- NPI 1285029017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1467624858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 DRIFTWOOD TERRACE",
"city": "DENTON",
"state": "TX",
"postal_code": "76209",
"telephone_number": "903-816-3657",
"fax_number": "903-416-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 DRIFTWOOD TERRACE",
"city": "DENTON",
"state": "TX",
"postal_code": "76209",
"telephone_number": "903-816-3657",
"fax_number": "903-416-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KYLE",
"middle_name": "FIELDING",
"name_prefix": "Mr.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.