Individual provider Active NPI

Kristina E. Weich, RDN

  • Registered Dietitian
  • Round Rock, TX
National Provider Identifier
1942039185
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT88099 Issued in TX
Practice address
402 Yucca Dr Apt B
Round Rock, TX 78681-6949
Phone
(210) 621-5178
NPI assigned
Jul 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT88099 TX Primary

Addresses

Primary practice location

402 Yucca Dr Apt B
Round Rock, TX 78681-6949

Mailing address

402 Yucca Dr Apt B
Round Rock, TX 78681-6949
Phone (210) 621-5178

Other names 1

  • Kristina E. W. McIlvoy Other name

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

State licenses

LicenseStateTypeSpecialty
DT88099TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1942039185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 YUCCA DR APT B",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816949",
            "telephone_number": "210-621-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 YUCCA DR APT B",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816949",
            "telephone_number": "210-621-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICH",
        "first_name": "KRISTINA",
        "middle_name": "E.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT88099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "MCILVOY",
            "middle_name": "E. W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

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

Verify at the official NPI Registry.