Temitope Ibiyemi
Individual provider Active NPI Registered Dietitian · Bee Cave, TX
NPI 1750257697 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1750257697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86291099
- Practice address
- 12600 Hill Country Blvd Ste R-275
Bee Cave, TX 78738-6768 - Phone
- (435) 572-0637
- NPI assigned
- Oct 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Pastures Nutrition & Wellness LLC | Dietitian, Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 86291099 | Yes |
Addresses
Primary practice location
12600 Hill Country Blvd Ste R-275
Bee Cave, TX 78738-6768
Mailing address
1250 Robert S Light Blvd Apt 4207
Buda, TX 78610-2425
Phone (832) 641-8898
Other practice location 1
1250 Robert S Light Blvd Apt 4207
Buda, TX 78610-2425
Phone (832) 641-8898
Other practice location 2
601 University Dr
San Marcos, TX 78666-4684
Phone (512) 408-0505
Other providers in Bee Cave, TX
- Hill Country Pediatric Dentistry
- Justin Michael Hill
- Hogan Chiropractic
- Hospice of the Hills, LLC
- Kelly Hundley
- Innovative Sports Therapy LLC
- Integrative Psychological Services, PLLC
- Invalid Nam
- Iq Dental PLLC
- Scott Micheal Jacobson
All providers in Bee Cave, TX · Registered Dietitian in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.