Kirsten Robertson, RDN, LD
Dietitian, Registered in Dallas, TX. Individual provider (NPI-1).
NPI number1366072068
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1366072068
- Entity type
- Individual (NPI-1)
- Name
- Kirsten Robertson
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2020
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONA
- 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 | DT85784 | TX | Yes |
| 133VN1201X | Dietitian, Registered, Nutrition, Obesity and Weight Management | DT85784 | TX |
Other names
- Kirsten Granberry (Other Name)
Practice location
4500 Spring Ave Ste 130Dallas, TX 75210-1350
Phone 214-865-3060 · Fax 214-865-3070
Mailing address
Po Box 844658Dallas, TX 75284-4658
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