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NPI 1285029017
● Active Type 2 · Organization
Your Specialized Dietitian
Dietitian, Registered · Whitesboro, TX · NPI 1285029017
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Enumerated 2015 · 11 years on NPI
Your Specialized Dietitian is 1 of 5402 dietitian, registered organizations in Texas.
NPI age
11 years
Enumerated 2015-03-30
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rose
Owner
Last NPPES update
2015-03-30
Source: monthly bulk 2026-05
How this organization compares
Across 5402 active dietitian, registered providers in Texas.
NPI age
11 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2015 → 2026
2015-03 Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
408 W Main St
Whitesboro, TX 762731641
📞 9038163657 fax 8179777406
Mailing address
408 West Main St
Whitesboro, TX 76273
📞 9038163657 fax 8179777406
Authorized official
Kyle Fielding Rose, RD
Owner
📞 9038163657
Individual providers at this organization
2 individual providers on file at this primary practice address.
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 #DT80568 taxonomy 133V00000X
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.