Active NPI
Carly Nevill, RD
- Registered Dietitian
- San Marcos, TX
National Provider Identifier
1740070804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT87568
- Practice address
- 611 W Hopkins St
San Marcos, TX 78666-4313 - Phone
- (713) 412-5616
- NPI assigned
- May 10, 2025
- 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 | DT87568 | TX | Primary |
Addresses
Primary practice location
611 W Hopkins St
San Marcos, TX 78666-4313
Mailing address
611 W Hopkins St
San Marcos, TX 78666-4313
Phone (713) 412-5616
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 |
|---|---|---|---|
| DT87568 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | 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": "1746835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746835200000",
"number": "1740070804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W HOPKINS ST",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786664313",
"telephone_number": "713-412-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W HOPKINS ST",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786664313",
"telephone_number": "713-412-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILL",
"first_name": "CARLY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-10",
"last_updated": "2025-05-10",
"certification_date": "2025-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT87568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.