KIRSTEN GRANBERRY (NPI# 1366072068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366072068 |
| Entity Type | Individual |
| Full Name | KIRSTEN GRANBERRY |
| Other Name | KIRSTEN ROBERTSON |
| Credential | RDN, LD |
| Practice Address |
4500 Spring Ave Dallas TX 75210-1350 |
| Practice Telephone | 2148653098 |
| Mailing Telephone | 2148653098 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT85784 | TX | Dietary & Nutritional Service Providers |
| N | 133VN1201X | DT85784 | TX |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS DEPARTMENT OF LICENSING AND REGULATION | DT85784 | 01 |
| Street Address |
4500 SPRING AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75210-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515936 | Brenda A Hamilton | Nurse Practitioner | 4500 Spring Ave, Dallas, TX 75210-1350 | 2005-08-18 |
| 1043828403 | Anabelia Aguillon | Dietitian, Registered | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-07-21 |
| 1144851254 | Andrea Harris | Nutritionist | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-01-28 |
| 1407162407 | Lashica Y Scaife | Nurse Practitioner | 4500 Spring Ave, Dallas, TX 75210-1350 | 2010-08-27 |
| 1992835573 | City of Dallas Ehs | Public Health or Welfare | 4500 Spring Ave, Dallas, TX 75210-1350 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962659086 | Edgar Quinagoran Bacud | Physical Therapist | 4206 South Fitzhugh Avenue, Dallas, TX 75210 | 2008-08-20 |
| 1912189861 | Happy Care Adult Day Center, LLC | Clinic/Center | 4915 Brashear St., Dallas, TX 75210 | 2007-12-03 |
| 1477537843 | Deborah G. Morris-harris | Internal Medicine | 4922 Spring Avenue, Prism Health North Texas, Dallas, TX 75210 | 2005-11-30 |
| 1235283839 | Kay Alyson Thompson | Internal Medicine | 4600 Scyene Road, Hatcher Station Health Center, Dallas, TX 75210 | 2007-01-22 |
| 1790382596 | Southern Sector Health Initiative | Clinic/Center | 4500 Spring Ave Ste 142, Dallas, TX 75210-1350 | 2020-10-05 |
| 1003456583 | Southern Sector Health Initiative | Preventive Medicine | 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 | 2020-01-13 |
| 1609852813 | Aids Arms, Inc. | Internal Medicine | 4922 Spring Ave, Dallas, TX 75210-1359 | 2005-12-20 |
| 1962751305 | Charmeka Lipscomb | Nurse Practitioner | 4922 Spring Ave, Dallas, TX 75210-1359 | 2012-08-30 |
| 1689820599 | Kristen Linnea Kammerer | Pediatrics | 4922 Spring Ave, Dallas, TX 75210-1359 | 2008-08-12 |
| 1194336222 | Honey Hands Personal Care Services LLC | Technician | 4907 Spring Ave # 202, Dallas, TX 75210-1360 | 2020-08-12 |
| Find all providers in zip 75210 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902637 | Allison Kleppe | Dietitian, Registered | 6255 Oram St Apt 106, Dallas, TX 75214-3985 | 2020-11-08 |
| 1720699945 | Brenna Mcconniel | Dietitian, Registered | 6071 Village Bend Dr Apt 103, Dallas, TX 75206-3502 | 2020-08-11 |
| 1891305314 | Patricia Rose Morrison | Dietitian, Registered | 8806 Redondo Dr, Dallas, TX 75218-4142 | 2020-08-10 |
| 1093324592 | Kara Osburn | Dietitian, Registered | 3300 Oak Lawn Ave Ste 102, Dallas, TX 75219-4236 | 2020-07-30 |
| 1083222020 | Reena Woolley | Dietitian, Registered | 5747 Sadler Cir Apt 2329, Dallas, TX 75235-6618 | 2020-07-15 |
| 1255949376 | Nicole Finken | Dietitian, Registered | 2121 N Pearl St, Dallas, TX 75201-2492 | 2020-07-14 |
| 1407473879 | Lauren Taylor Lund | Dietitian, Registered | 5219 Maple Ave Apt 2209, Dallas, TX 75235-7466 | 2020-07-01 |
| 1437774247 | Brittany A Crump | Dietitian, Registered | 2121 N Pearl St Ste 300, Dallas, TX 75201-2494 | 2020-06-08 |
| 1417571886 | Taylor Morrison | Dietitian, Registered | 4429 Hyer St, Dallas, TX 75205-1050 | 2020-06-02 |
| 1457974057 | Cammie Sharp | Dietitian, Registered | 17060 Dallas Pkwy Ste 213, Dallas, TX 75248-1900 | 2020-05-19 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on KIRSTEN GRANBERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.