Active NPI
Margot Korb, RD
- Registered Dietitian
- Temple, TX
National Provider Identifier
1780185983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 85006
- Practice address
- 6365 S 31St St Apt 703
Temple, TX 76502-3719 - Phone
- (717) 379-6945
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 85006 | TX | Primary |
| Registered Dietitian | 133V00000X | 008879 | PA |
Addresses
Primary practice location
6365 S 31St St Apt 703
Temple, TX 76502-3719
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (717) 379-6945
Other names 1
- Margot Ciccarelli
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 |
|---|---|---|---|
| 008879 | PA | MD | Registered Dietitian |
| 85006 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Well-Minded Plate, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5900 Balcones Dr
Ste 100
Austin, TX 78731
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": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1780185983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "717-379-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6365 S 31ST ST APT 703",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765023719",
"telephone_number": "717-379-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORB",
"first_name": "MARGOT",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "85006",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "008879",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARGOT",
"last_name": "CICCARELLI",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.