Individual provider Active NPI

Kelsey Alyse Hayes, RD., LD.

  • Registered Dietitian
  • Cedar Park, TX
National Provider Identifier
1710464458
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85395 Issued in TX
Practice address
1410 Medical Pkwy Ste 1
Cedar Park, TX 78613-2543
Phone
(512) 260-3444
Fax
(512) 260-3555
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 DT85395 TX Primary

Addresses

Primary practice location

1410 Medical Pkwy Ste 1
Cedar Park, TX 78613-2543

Mailing address

1410 Medical Pkwy Ste 1
Cedar Park, TX 78613-2543
Phone (512) 260-3444

Other identifiers 1

IdentifierTypeStateIssuer
DT85395OtherTXLICENSE

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

LicenseStateTypeSpecialty
DT85395TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Park Surgeons PA CurrentSince Jul 28, 2024 Accepting new patients

Locations

1401 Medical Pkwy
Ste 101
Cedar Park, TX 78613
Phone (512) 248-2200

1410 Medical Pkwy
Ste 1
Cedar Park, TX 78613
Phone (512) 260-3444

Organizations & group practices 1

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1710464458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 MEDICAL PKWY STE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132543",
            "telephone_number": "512-260-3444",
            "fax_number": "512-260-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MEDICAL PKWY STE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132543",
            "telephone_number": "512-260-3444",
            "fax_number": "512-260-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KELSEY",
        "middle_name": "ALYSE",
        "name_prefix": "Ms.",
        "credential": "RD., LD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DT85395",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.