Mackenzie Taylor Russell, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1901 Veterans Memorial Dr
Temple, TX 76504-7445

Phone

(800) 423-2111

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Thrive and Balance Nutrition, LLC

  • Registered Dietitian
  • Belton, TX
  • NPI 1801648167

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1609640234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 BELLE HUBBARD TRL",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765138560",
            "telephone_number": "615-886-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VETERANS MEMORIAL DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047445",
            "telephone_number": "800-423-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MACKENZIE",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David N Rundell, D.O.
• Donald A Rupprecht
• Paula J Rushing, MD
• Leslie Larae Russell-Brockett, ANP
• Jenise Ann Russell, CPHT
• Norman Alan Russell, A.A.
• Ryan Cory Russell, M.D.
• Stacy Russell, SLP
• Darius Giles Russin, M.D.
• Ellen Rutledge

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.