Active NPI
Kristen Danielle Ramos, RD
- Registered Dietitian
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 771 E Southlake Blvd Ste 106
Southlake, TX 76092-6354 - Phone
- (469) 372-2022
- Fax
- (833) 290-5413
- NPI assigned
- Oct 10, 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 | Primary |
Addresses
Primary practice location
771 E Southlake Blvd Ste 106
Southlake, TX 76092-6354
Mailing address
17060 Dallas Pkwy Ste 112
Dallas, TX 75248-1905
Phone (469) 372-2022
Other practice location 1
101 Summit Ave Ste 907
Fort Worth, TX 76102-2613
Phone (817) 438-8044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17060 Dallas Pkwy
Suite 112
Dallas, TX 75248-1905
Phone (469) 372-2022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doherty Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
17060 Dallas Pkwy
Ste 112
Dallas, TX 75248
Phone (469) 372-2022
101 Summit Ave
Ste 907
Fort Worth, TX 76102
Phone (817) 438-8044
771 E Southlake Blvd
Ste 106
Southlake, TX 76092
Phone (469) 372-2022
Organizations & group practices 1
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": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1659190130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17060 DALLAS PKWY STE 112",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481905",
"telephone_number": "469-372-2022",
"fax_number": "833-290-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 E SOUTHLAKE BLVD STE 106",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926354",
"telephone_number": "469-372-2022",
"fax_number": "833-290-5413"
}
],
"practiceLocations": [
{
"address_1": "101 Summit Ave Ste 907",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761022613",
"country_code": "US",
"telephone_number": "817-438-8044",
"fax_number": "833-290-5413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMOS",
"first_name": "KRISTEN",
"middle_name": "DANIELLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
- Radiant Family Dental PLLC
- Radiant Healthcare Services, LLC
- Joseph Radzevich, D.O.
- Azaan Ramani, DO
- Sofia Frances Ramirez-Bertolasi
- Ranch Hand Healthcare
- Randalls Food & Drugs LP (Tom Thumb Pharmacy #2580)
- Amanpreet Randazzo, PSYD
- Latoria Randile, CNIM
- Rapid Restore Plastic & Reconstructive Trauma Surgery, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.