P Praxis·MD
● Active Type 1 · Individual

Kaci Blackshear

Dietitian, Registered·Winnie, TX· NPI 1154194876 · Enumerated 2023 · 2 years on NPI
Blackshear is 1 of 2 dietitian, registered providers in Winnie and 1 of 5402 in Texas.
NPI age
2 years
Enumerated 2023-11-03
Primary specialty
Dietitian, Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5402 active dietitian, registered providers in Texas.

NPI age
2 years
↓ 3 yr below median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-11Enumerated in NPPES
2023 2026

Where they practice

Practice location
538 Broadway
Winnie, TX 776657600
📞 4092966000fax 4092966372
Mailing address
538 Broadway
Winnie, TX 776657600
📞 4092966000fax 4092966372

Additional practice locations

6 secondary locations on file with NPPES.

Location 2
2400 Highway 365 Ste 208
Nederland, TX 776276250
📞 4097308054fax 4092263374
Location 3
515 S Archie St
Vidor, TX 776624868
📞 4097692295fax 4097693373
Location 4
403 S Magnolia St
Woodville, TX 759795238
📞 4092832888fax 4092832892
Location 5
85 Ih 10 N Ste 112
Beaumont, TX 777072560
📞 4092395139fax 4093478856
Location 6
85 Ih 10 N Ste 208
Beaumont, TX 777072539
📞 4098421112fax 4098404104
Location 7
2400 Highway 365 Ste 112
Nederland, TX 776276268
📞 4097247900fax 4097247910

Specialties

  • Dietitian, Registered Primary
    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
    TX license #DT89065 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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