Active NPI
Kate Cherie Wilson, MS, RDN, LD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1891481966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT88412
- Practice address
- 5900 Balcones Dr Ste 10069
Austin, TX 78731-4257 - Phone
- (713) 588-6222
- Fax
- (855) 731-1379
- NPI assigned
- Apr 12, 2023
- 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 | DT88412 | TX | Primary |
Addresses
Primary practice location
5900 Balcones Dr Ste 10069
Austin, TX 78731-4257
Mailing address
5900 Balcones Dr Ste 10069
Austin, TX 78731-4257
Phone (713) 588-6222
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT88412 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Own Your Diet, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5900 Balcones Dr
Ste 10069
Austin, TX 78731
Phone (713) 588-6222
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": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1891481966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 10069",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "713-588-6222",
"fax_number": "855-731-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 10069",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "713-588-6222",
"fax_number": "855-731-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KATE",
"middle_name": "CHERIE",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-12",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88412",
"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 Apr 12, 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.