Individual provider Active NPI

Beverly Seagren, RD, LD, CDE

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1689016685
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
02828 Issued in TX
Practice address
10503 Macmora Rd
Austin, TX 78758-4639
Phone
(512) 324-1891
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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 02828 TX Primary

Addresses

Primary practice location

10503 Macmora Rd
Austin, TX 78758-4639

Mailing address

10503 Macmora Rd
Austin, TX 78758-4639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131119000990 TX Practitioner - Registered Dietitian Or Nutrition Professional 2163658220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diabetes and Nutrition Partners LLCGroup PAC ID 6406207141, 2 clinicians
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (512) 737-4112

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

313 E 12TH St
Austin, TX 78701-1955
Phone (512) 324-9650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02828TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Dec 11, 2023 Accepting new patients
Diabetes and Nutrition Partners, LLC Dietitian, Registered CurrentSince Dec 18, 2023 Accepting new patients

Locations

5900 Balcones Dr
Ste 14305
Austin, TX 78731
Phone (512) 737-4112

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

Interoperability endpoints

  • Direct secure messaging: beverly.seagren.1@8363.direct.athenahealth.com

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1689016685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 MACMORA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 MACMORA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584639",
            "telephone_number": "512-324-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGREN",
        "first_name": "BEVERLY",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "02828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.