Wellformed AI

NPI 1912313446 · live from the CMS NPI Registry

Kassi Kae Beasley, M.S., R.D., L.D.

Dietitian, Registered in Houston, TX. National Provider Identifier 1912313446, active.

NPI record

NPI1912313446 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location20405 State Highway 249 Ste 325, Houston, TX 77070
Practice phone866-849-0692
Mailing addressPo Box 211699, Eagan, MN 55121
EnumeratedJuly 3, 2014
Last updatedMarch 25, 2025
Sole proprietorNo
Other namesKassi Jewell

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000XDT83160 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.