NPIMap

Organization Active NPI

Kwnutrition

  • Registered Dietitian
  • Mesquite, TX
National Provider Identifier
1669815676
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT02831 Issued in TX
Legal business name
KWNUTRITION
Practice address
3330 N Galloway Ave
Suite 100
Mesquite, TX 75150-4728
Phone
(214) 763-7552
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Karla Whitley, R.D., L.D.NPI 1205179405
Title
Registered Dietitian
Phone
(214) 763-7552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT02831 TX Primary

Addresses

Primary practice location

3330 N Galloway Ave
Suite 100
Mesquite, TX 75150-4728

Mailing address

4204 Wayfaring St
Mesquite, TX 75150-4255
Phone (214) 763-7552

Other names 1

  • Karla Whitley Former legal business name

National Provider Directory

National Provider Directory

Locations

3330 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (214) 763-7552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1669815676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 WAYFARING ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504255",
            "telephone_number": "214-763-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N GALLOWAY AVE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504728",
            "telephone_number": "214-763-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWNUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "214-763-7552",
        "authorized_official_credential": "R.D., L.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT02831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karla Whitley",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.