IndividualActive
Kaci Blackshear
NPI 1154194876 · Registered Dietitian · Winnie, TX
Provider details
- NPI number
- 1154194876
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DT89065 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
538 Broadway
Winnie, TX 77665-7600
Phone: (409) 296-6000
Fax: (409) 296-6372
Approximate (ZIP-level) locationGet directions
Mailing address
538 Broadway
Winnie, TX 77665-7600
Additional practice locations (6)
- 85 Ih 10 N Ste 208Beaumont, TX 77707-2539Phone: (409) 842-1112Fax: (409) 840-4104
- 85 Ih 10 N Ste 112Beaumont, TX 77707-2560Phone: (409) 239-5139Fax: (409) 347-8856
- 2400 Highway 365 Ste 208Nederland, TX 77627-6250Phone: (409) 730-8054Fax: (409) 226-3374
- 2400 Highway 365 Ste 112Nederland, TX 77627-6268Phone: (409) 724-7900Fax: (409) 724-7910
- 515 S Archie StVidor, TX 77662-4868Phone: (409) 769-2295Fax: (409) 769-3373
- 403 S Magnolia StWoodville, TX 75979-5238Phone: (409) 283-2888Fax: (409) 283-2892
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.