Kristine James, RD
Individual provider Active NPI Registered Dietitian · Willow Park, TX
NPI 1932801693 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1932801693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 437 Squaw Creek Rd
Willow Park, TX 76087-8245 - Phone
- (817) 773-8657
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
437 Squaw Creek Rd
Willow Park, TX 76087-8245
Mailing address
437 Squaw Creek Rd
Willow Park, TX 76087-8245
Other providers in Willow Park, TX
- Dallas Eugene Horton
- Shannon Grace Howard
- Lauren Hunsicker
- Kaellie Hurst
- J. M. White, OD & Associates, PA
- Mar'Kyiden James
- Andrew Michael Jen
- Benjamin Johnson
- Darla Leigh Johnson
- Whitney Beanette Jones
All providers in Willow Park, TX · Registered Dietitian in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.