Active NPI
Courtney Kolski, RD, LD
- Pediatric Nutrition Registered Dietitian
- Dallas, TX
National Provider Identifier
1699131607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- DT83376
- Practice address
- 1935 Medical District Dr
Clinical Nutrition
Dallas, TX 75235-7701 - Phone
- (214) 456-2178
- Fax
- (214) 456-6287
- NPI assigned
- Jan 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DT83376 | TX | Primary |
Addresses
Primary practice location
1935 Medical District Dr
Clinical Nutrition
Dallas, TX 75235-7701
Mailing address
7540 Edna CT
Apt 5421
Plano, TX 75024-5864
Phone (214) 456-2178
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108322 | Other | REGISTERED DIETITIAN | |
| DT83376 | Other | TX | LICENSED DIETITIAN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT83376 | TX | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1699131607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7540 EDNA CT",
"address_2": "APT 5421",
"city": "PLANO",
"state": "TX",
"postal_code": "750245864",
"telephone_number": "214-456-2178",
"fax_number": "214-456-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"address_2": "CLINICAL NUTRITION",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "214-456-2178",
"fax_number": "214-456-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLSKI",
"first_name": "COURTNEY",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "TX",
"license": "DT83376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "1108322",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN",
"identifier": "DT83376",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.