Active NPI
Kelly Grace Wilpitz, MCN, RDN, LD
- Registered Dietitian
- Plano, TX
National Provider Identifier
1639925373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 84519
- Practice address
- 400 Chisholm PL Ste 100
Plano, TX 75075-6911 - Phone
- (972) 422-9180
- NPI assigned
- Apr 24, 2024
- Last updated
- May 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 84519 | TX | Primary |
Addresses
Primary practice location
400 Chisholm PL Ste 100
Plano, TX 75075-6911
Mailing address
400 Chisholm PL Ste 100
Plano, TX 75075-6911
Phone (972) 422-9180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84519 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keepcare LLC | Dietitian, Registered | Current | Accepting new patients |
| Nutriphasics, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5900 Balcones Dr
#17502
Austin, TX 78731
Phone (512) 253-1679
400 Chisholm Pl
Ste 100
Plano, TX 75075
Phone (888) 422-8070
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lemond Nutrition
- Registered Dietitian
- Plano, TX
- NPI 1982917126
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1639925373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CHISHOLM PL STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750756911",
"telephone_number": "972-422-9180",
"fax_number": "888-821-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CHISHOLM PL STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750756911",
"telephone_number": "972-422-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILPITZ",
"first_name": "KELLY",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "MCN, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-24",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "84519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.