Active NPI
Adam J Kieffer, PA, RD, PHD
- Physician Assistant
- Fort Cavazos, TX
National Provider Identifier
1508017328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 590 Medical Center Road
Building 36065
Fort Cavazos, TX 76544 - Phone
- (210) 916-0254
- NPI assigned
- Oct 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT81407 | TX | |
| Physician Assistant | 363A00000X | TX | Primary |
Addresses
Primary practice location
590 Medical Center Road
Building 36065
Fort Cavazos, TX 76544
Mailing address
590 Medical Center Road
Building 36065
Fort Cavazos, TX 76544
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
- Credentials
- Physician Assistant, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81407 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1508017328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER ROAD",
"address_2": "BUILDING 36065",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER ROAD",
"address_2": "BUILDING 36065",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "210-916-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFFER",
"first_name": "ADAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PA, RD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-10",
"last_updated": "2025-01-14",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81407",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.