Individual provider Active NPI

Mary Ann Kinart, MS,RD,LD

  • Registered Dietitian
  • The Woodlands, TX
National Provider Identifier
1700446838
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT04273 Issued in TX
Practice address
17200 St Lukes Way
The Woodlands, TX 77384-8007
Phone
(936) 266-3654
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 DT04273 TX Primary

Addresses

Primary practice location

17200 St Lukes Way
The Woodlands, TX 77384-8007

Mailing address

15228 Saddlewood Dr
Conroe, TX 77384-3453
Phone (281) 804-7671

Other names 1

  • Mary Ann Otting Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT04273TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1700446838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15228 SADDLEWOOD DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843453",
            "telephone_number": "281-804-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 ST LUKES WAY",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848007",
            "telephone_number": "936-266-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINART",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MS,RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT04273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "OTTING",
            "middle_name": "ANN",
            "credential": "MS,RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.