Kathleen Elizabeth Davis, MS/RD/LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT05834 Issued in TX

Practice address

421 E Hickory St
Denton, TX 76201-4233

Phone

(940) 395-8577

NPI assigned

Sep 26, 2007

Last updated

Sep 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Elizabeth Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1467649194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 PICADILLY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762098655",
            "telephone_number": "940-395-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E HICKORY ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014233",
            "telephone_number": "940-395-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS/RD/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MITCHELL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beau D Davis, MMFT LMFT
• Conner Davis, DPT
• Jennifer Davis, LPC
• Jennifer Dawn Davis, D. C.
• Jill Danae Davis, M.MFT, LMFT
• Lauren Ashley Davis, PA
• Patricia L Davis, LCDC-I
• Richard Eugene Davis, MS, LPC
• Sarah Beth Davis, R.D.
• Tarah Davis, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.