Active NPI
Katrina Sobecky, RD, LD
- Registered Dietitian
- Humble, TX
National Provider Identifier
1710173836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80392
- Practice address
- 12943 Cascadia Knoll CT
Humble, TX 77346-3452 - Phone
- (254) 630-5163
- NPI assigned
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80392 | TX | Primary |
Addresses
Primary practice location
12943 Cascadia Knoll CT
Humble, TX 77346-3452
Mailing address
12943 Cascadia Knoll CT
Humble, TX 77346-3452
Phone (254) 630-5163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250610002863 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 2466542436 | Practice locations: Coldspring, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vyandus LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1710173836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12943 CASCADIA KNOLL CT",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463452",
"telephone_number": "254-630-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12943 CASCADIA KNOLL CT",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463452",
"telephone_number": "254-630-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBECKY",
"first_name": "KATRINA",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.