Active NPI
Stacey Kirkpatrick, RD
- Registered Dietitian
- Grapevine, TX
National Provider Identifier
1942723259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84513
- Practice address
- 1701 W Northwest Hwy
Grapevine, TX 76051-8127 - Phone
- (682) 651-8581
- NPI assigned
- Jul 18, 2017
- 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 | DT84513 | TX | Primary |
Addresses
Primary practice location
1701 W Northwest Hwy
Grapevine, TX 76051-8127
Mailing address
1000 Ownby LN
Southlake, TX 76092-6331
Phone (214) 693-2657
Other practice location 1
1000 Ownby Ln
Southlake, TX 76092-6331
Phone (214) 693-2657
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT84513 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1942723259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OWNBY LN",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926331",
"telephone_number": "214-693-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W NORTHWEST HWY",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518127",
"telephone_number": "682-651-8581"
}
],
"practiceLocations": [
{
"address_1": "1000 Ownby Ln",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760926331",
"country_code": "US",
"telephone_number": "214-693-2657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "STACEY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.