Kelsey Garbutt, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT87993 Issued in TX

Practice address

1382 Lomaland Dr Ste a
El Paso, TX 79935-5204

Phone

(915) 591-0834

NPI assigned

Jan 27, 2023

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

Other names 1

• Kelsey Hildreth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1861108250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 SPC ISAAC TRUJILLO DR UNIT A",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799272241",
            "telephone_number": "915-262-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 LOMALAND DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799355204",
            "telephone_number": "915-591-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBUTT",
        "first_name": "KELSEY",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HILDRETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Garcia Esthetic Dentistry PLLC (Lotus Dentistry)

• Registered Dietitian in El Paso, TX
• Providers in El Paso, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.