Active NPI
Kylie Wood, RDN
- Registered Dietitian
- Fort Worth, TX
National Provider Identifier
1932935681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5049 Edwards Ranch Rd
Fort Worth, TX 76109-4213 - Phone
- (682) 231-3604
- NPI assigned
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | TX | Primary |
Addresses
Primary practice location
5049 Edwards Ranch Rd
Fort Worth, TX 76109-4213
Mailing address
512 Lamar St
Fort Worth, TX 76102-3782
Phone (817) 566-1025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598207821 | Other | TX | YMCA OF METROPOLITAN FORT WORTH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1932935681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 LAMAR ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023782",
"telephone_number": "817-566-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5049 EDWARDS RANCH RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094213",
"telephone_number": "682-231-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "KYLIE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "YMCA OF METROPOLITAN FORT WORTH",
"identifier": "1598207821",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.