Active NPI
Kayla Trevino, MS, RD, LD
- Registered Dietitian
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT85428
- Practice address
- 825 E Rundberg LN Ste B1
Austin, TX 78753-4860 - Phone
- (512) 978-9600
- NPI assigned
- Jan 29, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT85428 | TX | Primary |
Addresses
Primary practice location
825 E Rundberg LN Ste B1
Austin, TX 78753-4860
Mailing address
825 E Rundberg LN Ste B1
Austin, TX 78753-4860
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, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 17366
Austin, TX 78760
PO Box
Suite 5478
Pawtucket, RI 02862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT85428 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Community Health Centers | Current | Accepting new patients | |
| Central Texas Community Health Centers | Dietitian, Registered | Current | Accepting new patients |
| Eat Better | Dietitian, Registered | Current | Accepting new patients |
Locations
825 E Rundberg Ln
Ste B1
Austin, TX 78753
Phone (512) 978-9600
1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300
301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1427882091
Dietitian, Registered
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1598591414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1821629817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E RUNDBERG LN STE B1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787534860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E RUNDBERG LN STE B1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787534860",
"telephone_number": "512-978-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "KAYLA",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT85428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.