P Praxis·MD
● Active Type 1 · Individual

Ivy Boudreaux, RD, LD

Dietitian, Registered·Round Rock, TX· NPI 1588344618 · Enumerated 2023 · 2 years on NPI
Boudreaux is 1 of 54 dietitian, registered providers in Round Rock and 1 of 5402 in Texas.
NPI age
2 years
Enumerated 2023-07-24
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
TX, IA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5402 active dietitian, registered providers in Texas.

NPI age
2 years
↓ 3 yr below median (5 yr)
State licenses
2 states
Top 97% — 2% of peers are multi-state
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-07Enumerated in NPPES
2023 2026

Where they practice

Practice location
1236 Pine Forest Cir
Round Rock, TX 786655648
📞 5124151320
Mailing address
1236 Pine Forest Cir
Round Rock, TX 786655648
📞 5124151320

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 #DT82046IA license #120704 taxonomy 133V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 3 new dietitian, registered providers have been added in Round Rock in the last 180 days. See all →
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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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