Active NPI
Eun Myung Kim, MS, RDN, LD
- Registered Dietitian
- Lewisville, TX
National Provider Identifier
1962378190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT92555
- Practice address
- 1345 Prairie Dr
Lewisville, TX 75067-5564 - Phone
- (214) 607-6551
- NPI assigned
- Oct 14, 2025
- 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 | DT92555 | TX | Primary |
Addresses
Primary practice location
1345 Prairie Dr
Lewisville, TX 75067-5564
Mailing address
1345 Prairie Dr
Lewisville, TX 75067-5564
Phone (214) 607-6551
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT92555 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1962378190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 PRAIRIE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750675564",
"telephone_number": "214-607-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 PRAIRIE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750675564",
"telephone_number": "214-607-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUN MYUNG",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT92555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.