Family Wings Consulting, LLC
Organization Active NPI Registered Dietitian · Kyle, TX
NPI 1780244780 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1780244780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- FAMILY WINGS CONSULTING, LLC
- Practice address
- 601 W Center St
Kyle, TX 78640-9427 - Phone
- (512) 731-2015
- NPI assigned
- Jun 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Alisa Dusan
- Title
- Authorized
- Phone
- (512) 731-2015
Practitioners 3
-
Becca Bresemann, RD, LD
-
Millicent Wilson, RD, LD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190923000775 | TX | Part B Supplier - Clinic/Group Practice | 5193055945 |
Receives reassigned benefits from 3 practitioners Practice locations: Kyle, TX |
National Provider Directory
Locations
589 N FM 1626
Ste 302
Buda, TX 78610
Phone (512) 731-2015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
601 W Center St
Kyle, TX 78640-9427
Mailing address
12749 Johnson LN Ste a
Manchaca, TX 78652-3550
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.