Kyndal Elizabeth Klose, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86756 Issued in TX

Practice address

4501 Spicewood Springs Rd Ste 1022
Austin, TX 78759-8543

Phone

(512) 257-0898

Fax

(512) 792-9912

NPI assigned

Oct 12, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sparkman Nutrition, LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1619332384

  Dietitian, Registered

  NPD
• Wilfong Nutrition Limited Liability Company

  • Registered Dietitian
  • West Lake Hills, TX
  • NPI 1518464650

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1679171714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SPICEWOOD SPRINGS RD STE 1022",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598543",
            "telephone_number": "512-257-0898",
            "fax_number": "512-792-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SPICEWOOD SPRINGS RD STE 1022",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598543",
            "telephone_number": "512-257-0898",
            "fax_number": "512-792-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSE",
        "first_name": "KYNDAL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyndal@sparkmannutrition.com",
            "affiliation": "Y",
            "endpointDescription": "Business email address",
            "affiliationName": "Sparkman Nutrition, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4501 Spicewood Springs Rd Ste 1022",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787598543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Kloc, LPC
• Jodi M Klocek, PHARM.D.
• Jonathan R Klocek, MD
• Sara Nicole Klopp, PA-C
• Paul Kloppe, AE-C, RRT
• Kimberly Klotz, RPH
• Miriam Lee Klotz, LCSW
• Sanford Kluchin
• Stacy Jane Kluck, L.AC.
• Taylor Klump

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.