Erin Kenny, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85889 Issued in TX

Practice address

60 Four T Ranch Rd
Georgetown, TX 78633-4350

Phone

(949) 282-9928

NPI assigned

Jul 16, 2019

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Celiac Space, LLC

  • Registered Dietitian
  • Georgetown, TX
  • NPI 1699312496

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1538711874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOUR T RANCH RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334350",
            "telephone_number": "949-282-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOUR T RANCH RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334350",
            "telephone_number": "949-282-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "ERIN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M. McCabe, LPC-S, LMFT-S, PLLC
• Crystal Kelly, MD
• Mackenzie Kelly, DPT
• Margaret Dubois Kelly, M.S, CCC-SLP
• Kenny-Bao Thai Tran, MD, PA
• Christina Lee Kepner, M. ED, LPC
• Holly Arnold Kerby, APRN, PMHNP-BC
• Patricia Kathryn Kerr, L.AC.
• Erin Kerwin
• Kevin L Miller MD, PA (Georgetown Dermatology and Skin Cancer Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.