Becca Bresemann, RD, LD
Individual provider Active NPI Registered Dietitian · Buda, TX
NPI 1700459211 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1700459211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT86067 (TX)
- Practice address
- 589 N FM 1626 Ste 307
Buda, TX 78610-3861 - Phone
- (512) 731-2015
- Fax
- (833) 857-1951
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Wings Consulting, LLC
Practice addresses (Care Compare)
601 W Ctr St
Kyle, TX 78640-9427
Phone (512) 731-2015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210922002766 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 2668878828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT86067 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Wings Consulting, LLC | Dietitian, Registered | Current |
Accepting new patients |
Locations
601 W Center St
Kyle, TX 78640
Phone (512) 265-6376
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT86067 | TX | Yes |
Addresses
Primary practice location
589 N FM 1626 Ste 307
Buda, TX 78610-3861
Mailing address
12749 Johnson LN Ste a
Manchaca, TX 78652-3550
Phone (512) 731-2015
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.