The Expedition Dietitian LLC
Dietitian, Registered in Austin, TX. Organization (NPI-2).
NPI number1295573129
StatusActive
Last updated in NPPESJul 28, 2024
Details
- NPI
- 1295573129
- Entity type
- Organization (NPI-2)
- Legal business name
- The Expedition Dietitian LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2024
- Certification date
- Jul 28, 2024
- Last updated
- Jul 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
| 133N00000X | Nutritionist | – | – | |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 133VN1201X | Dietitian, Registered, Nutrition, Obesity and Weight Management | – | – | |
| 171400000X | Health & Wellness Coach | – | – | |
| 174400000X | Specialist | – | – |
Practice location
5900 Balcones Dr Ste 100Austin, TX 78731-4298
Phone 469-324-9589
Mailing address
5900 Balcones Dr Ste 100Austin, TX 78731-4298
Authorized official
Katie Krieg
Business Owner
4693249589
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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