Individual provider Active NPI

Karrie Itz-Thompson, R.D., L.D.

  • Registered Dietitian
  • New Braunfels, TX
National Provider Identifier
1659559581
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT07241 Issued in TX
Practice address
1105 FM 1863
New Braunfels, TX 78132-4648
Phone
(210) 822-5959
NPI assigned
Feb 1, 2008
Reactivated
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 DT07241 TX Primary

Addresses

Primary practice location

1105 FM 1863
New Braunfels, TX 78132-4648

Mailing address

1105 FM 1863
New Braunfels, TX 78132-4648
Phone (210) 822-5959

Other practice location 1

2339 Rock Grv
New Braunfels, TX 78132-3722
Phone (830) 377-3871

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

State licenses

LicenseStateTypeSpecialty
DT07241TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659559581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 FM 1863",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324648",
            "telephone_number": "210-822-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 FM 1863",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324648",
            "telephone_number": "210-822-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2339 Rock Grv",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781323722",
            "country_code": "US",
            "telephone_number": "830-377-3871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITZ-THOMPSON",
        "first_name": "KARRIE",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2018-03-17",
        "deactivation_date": "2017-11-21",
        "reactivation_date": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.