Active NPI
Carrie O Slezak, R.D.
- Registered Dietitian
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT88105
- Practice address
- 321 W Southlake Blvd
Southlake, TX 76092-6188 - Phone
- (817) 488-4186
- NPI assigned
- Feb 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT88105 | TX | Primary |
| Registered Dietitian | 133V00000X | 164004392 | IL |
Addresses
Primary practice location
321 W Southlake Blvd
Southlake, TX 76092-6188
Mailing address
1209 Bay Meadows Dr
Southlake, TX 76092-3936
Phone (773) 882-4312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4801 Spring Valley Rd
Suite 20
Farmers Branch, TX 75244-8222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164004392 | IL | MD | Registered Dietitian |
| DT88105 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 180 Wellness, LLP | Single Specialty | Current | Accepting new patients |
| Curis Functional Health | Dietitian, Registered | Current | Accepting new patients |
Locations
4801 Frankford Rd
Ste 300
Dallas, TX 75287
Phone (214) 390-3259
221 Regency Pkwy
Ste 101
Mansfield, TX 76063
Phone (817) 453-0430
321 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 337-5199
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": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1740502905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 BAY MEADOWS DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923936",
"telephone_number": "773-882-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 W SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926188",
"telephone_number": "817-488-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEZAK",
"first_name": "CARRIE",
"middle_name": "O",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-15",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88105",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164004392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.