Active NPI
Kaitlin Reyes Pacheco, MS, RDN, LD
- Registered Dietitian
- Corpus Christi, TX
National Provider Identifier
1982379848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT86616
- Practice address
- 3533 S Alameda St
Corpus Christi, TX 78411-1721 - Phone
- (361) 694-5103
- NPI assigned
- Aug 12, 2021
- 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 | DT86616 | TX | Primary |
Addresses
Primary practice location
3533 S Alameda St
Corpus Christi, TX 78411-1721
Mailing address
2689 Everly LN
Corpus Christi, TX 78415-4351
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 |
|---|---|---|---|
| DT86616 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1982379848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2689 EVERLY LN",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784154351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "361-694-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "KAITLIN",
"middle_name": "REYES",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT86616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.