Individual provider Active NPI

Kathleen Benson, RD, CSSD, LD, CPT

  • Registered Dietitian
  • El Paso, TX
National Provider Identifier
1679279996
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
3124 Overbrook PL
El Paso, TX 79938-8703
Phone
(210) 316-4494
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered Dietitian 133VN1501X
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

3124 Overbrook PL
El Paso, TX 79938-8703

Mailing address

3124 Overbrook PL
El Paso, TX 79938-8703
Phone (210) 316-4494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917000789 TX Practitioner - Registered Dietitian Or Nutrition Professional 7618333766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jan Tilley and AssociatesGroup PAC ID 9234209990, 11 clinicians

Practice addresses (Care Compare)

1870 W Bitters Rd
Suite 101
San Antonio, TX 78248-1827
Phone 21054544224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Tilley & Associates Dietitian, Registered CurrentSince Aug 8, 2025 Accepting new patients
Thrive Health Holdings, Inc. Dietitian, Registered Past Accepting new patients
Thrive Health Holdings, Inc. Dietitian, Registered PastSince Nov 30, 2025 Accepting new patients

Locations

1870 W Bitters Rd
Ste 101
San Antonio, TX 78248
Phone (210) 545-4422

Organizations & group practices 3

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1679279996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 OVERBROOK PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388703",
            "telephone_number": "210-316-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 OVERBROOK PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388703",
            "telephone_number": "210-316-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "KATHLEEN",
        "credential": "RD, CSSD, LD, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.

Verify at the official NPI Registry.