Individual provider Active NPI

Erin Donovan, MS, RD, LD

  • Registered Dietitian
  • Southlake, TX
National Provider Identifier
1740568674
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT80807 Issued in TX
Practice address
630 N Kimball Ave Ste 110
Southlake, TX 76092-6887
Phone
(972) 422-9180
NPI assigned
Jul 26, 2011
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 DT80807 TX Primary

Addresses

Primary practice location

630 N Kimball Ave Ste 110
Southlake, TX 76092-6887

Mailing address

400 Chisholm PL Ste 100
Plano, TX 75075-6911
Phone (972) 422-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921000440 TX Practitioner - Registered Dietitian Or Nutrition Professional 6406231844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keepcare LLCGroup PAC ID 3375069420, 10 clinicians

Practice addresses (Care Compare)

400 Chisholm PL
Suite 100
Plano, TX 75075-6911
Phone (888) 422-8070

5900 Balcones Dr
Austin, TX 78731-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT80807TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Keepcare LLC Dietitian, Registered CurrentSince Jan 1, 2026 Accepting new patients
Nutriphasics, LLC Dietitian, Registered CurrentSince Aug 23, 2022 Accepting new patients

Locations

5900 Balcones Dr
#17502
Austin, TX 78731
Phone (512) 253-1679

400 Chisholm Pl
Ste 100
Plano, TX 75075
Phone (888) 422-8070

700 E Park Blvd
Ste 206
Plano, TX 75074
Phone (469) 564-4211

630 N Kimball Ave
Ste 110
Southlake, TX 76092
Phone (817) 251-9985

777 N Jefferson St
Ste 408
Milwaukee, WI 53202
Phone (414) 367-8494

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1740568674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756911",
            "telephone_number": "972-422-9180",
            "fax_number": "888-821-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926887",
            "telephone_number": "972-422-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80807",
            "primary": true
        }
    ],
    "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 Apr 24, 2024; 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.

Verify at the official NPI Registry.