Kaci Blackshear, is a
Dietitian, Registered based in Winnie, Texas. Kaci Blackshear is licensed to practice in Texas (license number DT89065) and her current practice location is
538 Broadway, Winnie, Texas. She can be reached at her office (for appointments etc.) via phone at
(409) 296-6000.
NPI number for Kaci Blackshear is 1154194876 and her current mailing address is 538 Broadway, Winnie, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154194876.
Healthcare Provider's Profile
| Full Name | Kaci Blackshear |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 538 Broadway, Winnie, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154194876
- Provider Enumeration Date: 11/03/2023
- Last Update Date: 11/03/2023
Medical Identifiers
Medical identifiers for Kaci Blackshear such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154194876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DT89065 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaci Blackshear is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kaci Blackshear, 538 Broadway, Winnie, TX 77665-7600 Ph: (409) 296-6000 | Kaci Blackshear, 538 Broadway, Winnie, TX 77665-7600 Ph: (409) 296-6000 |
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