Individual provider Active NPI

Karen Zern Flanagan, MAGR., RD, LD, CDE

  • Registered Dietitian
  • Leander, TX
National Provider Identifier
1639266356
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT04315 Issued in TX
Practice address
660 S Bagdad Rd Ste 310
Leander, TX 78641-5049
Phone
(512) 772-6788
Fax
(888) 668-6889
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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 DT04315 TX Primary

Addresses

Primary practice location

660 S Bagdad Rd Ste 310
Leander, TX 78641-5049

Mailing address

12301 Bar X Dr
Austin, TX 78727-5705
Phone (512) 917-5093

Other identifiers 2

IdentifierTypeStateIssuer
7821670OtherTXAETNA
26MROtherTXBCBS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blissnutri Wellness LLC Dietitian, Registered CurrentSince Jul 31, 2022 Accepting new patients
Webnutri.Com Consulting, LLC Dietitian, Registered PastSince Jul 31, 2022 Accepting new patients

Locations

660 S Bagdad Rd
Ste 310
Leander, TX 78641
Phone (512) 772-6788

Organizations & group practices 2

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1639266356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 BAR X DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787275705",
            "telephone_number": "512-917-5093",
            "fax_number": "512-250-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S BAGDAD RD STE 310",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415049",
            "telephone_number": "512-772-6788",
            "fax_number": "888-668-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "KAREN",
        "middle_name": "ZERN",
        "name_prefix": "Mrs.",
        "credential": "MAGR., RD, LD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT04315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7821670",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26MR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.