Active NPI
Kristin Williams
- Registered Dietitian
- Austin, TX
National Provider Identifier
1902119803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT06004
- Practice address
- 6301 Cannes Cir
Austin, TX 78745-3452 - Phone
- (512) 789-9966
- Fax
- (512) 789-9966
- NPI assigned
- Jul 20, 2010
- Last updated
- Nov 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | DT06004 | TX | |
| Registered Dietitian | 133V00000X | DT06004 | TX | Primary |
Addresses
Primary practice location
6301 Cannes Cir
Austin, TX 78745-3452
Mailing address
6301 Cannes Cir
Austin, TX 78745-3452
Phone (512) 789-9966
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT06004 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Past | Accepting new patients | |
| Tri-County Clinical | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699056000000",
"number": "1902119803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 CANNES CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787453452",
"telephone_number": "512-789-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 CANNES CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787453452",
"telephone_number": "512-789-9966",
"fax_number": "512-789-9966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2023-11-04",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "TX",
"license": "DT06004",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT06004",
"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 Nov 4, 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.