Active NPI
Kelli W Vacek, MA, RD, LD
- Registered Dietitian
- Beaumont, TX
National Provider Identifier
1477937464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 990 Ih 10 N
Suite 215
Beaumont, TX 77702-1051 - Phone
- (409) 454-0417
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
990 Ih 10 N
Suite 215
Beaumont, TX 77702-1051
Mailing address
990 Ih 10 N
Suite 215
Beaumont, TX 77702-1051
Phone (409) 454-0417
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Solutions | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1477937464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 IH 10 N",
"address_2": "SUITE 215",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021051",
"telephone_number": "409-454-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 IH 10 N",
"address_2": "SUITE 215",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021051",
"telephone_number": "409-454-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACEK",
"first_name": "KELLI",
"middle_name": "W",
"credential": "MA, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- Utmb Faculty Group Practice
- Utmb Regional Maternal and Child Health Program
- Utmb Regional Maternal and Child Health Program
- Utmb Regional Maternal and Child Health Program
- VA Outpatiient Clinic
- Seyede Maryam Vahedi
- Federico Valderrama-Bazan, M.D.
- Britt Jerome Valenta, PHARMD
- Valentine Counseling
- Leslie Valentine, LPC-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.