Individual provider Active NPI

Karen Mynhier Beathard, R.D., L.D.

  • Registered Dietitian
  • College Station, TX
National Provider Identifier
1558708305
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT05309 Issued in TX
Practice address
207 Rock Prairie Rd
Suite B
College Station, TX 77845-8777
Phone
(979) 220-2281
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT05309 TX Primary

Addresses

Primary practice location

207 Rock Prairie Rd
Suite B
College Station, TX 77845-8777

Mailing address

2734 Cloisters Dr
College Station, TX 77845-4826
Phone (979) 220-2281

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

State licenses

LicenseStateTypeSpecialty
DT05309TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1558708305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 CLOISTERS DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454826",
            "telephone_number": "979-220-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ROCK PRAIRIE RD",
            "address_2": "SUITE B",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458777",
            "telephone_number": "979-220-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATHARD",
        "first_name": "KAREN",
        "middle_name": "MYNHIER",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.