Kristi L Petty, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80681 Issued in TX

Practice address

3 Riverway
Suite 825
Houston, TX 77056-1919

Phone

(713) 840-5245

Fax

(281) 897-9906

NPI assigned

Feb 19, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1831367366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654232",
            "telephone_number": "832-237-3500",
            "fax_number": "832-237-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIVERWAY",
            "address_2": "SUITE 825",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561919",
            "telephone_number": "713-840-5245",
            "fax_number": "281-897-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "KRISTI",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan James Pettit, D.M.D., M.S.D.
• Deborah Pettway
• Sharon Kay Tucker Pettway, MD
• Ann K. Petty, MT-BC, NMT
• Gary Leon Petty, PHD
• Mary Pomeroy Petty, LPC
• Paige Petty
• Tamara K Petty, LPC
• Teneal Mercedes Petty
• Larissa Elena Petzey Salazar, MD

• Registered Dietitian in Houston, TX
• Providers in Houston, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.