| Sparkman Nutrition, Llc | |
|
4131 Spicewood Springs Rd, Suite L4, Austin, TX 78759-8661 | |
| (512) 257-0898 | |
| (512) 342-1043 |
| Full Name | Sparkman Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4131 Spicewood Springs Rd, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619332384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT00782 (Texas) | Primary |
| Provider Name | Madeline J Thomas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750050860 PECOS PAC ID: 0042687410 Enrollment ID: I20221028000404 |
| Provider Name | Elaine Gorman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881300408 PECOS PAC ID: 2567825284 Enrollment ID: I20230829002090 |
| Provider Name | Kristen Wollmuth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508647710 PECOS PAC ID: 2668823485 Enrollment ID: I20240105002287 |
| Provider Name | Sarah Zacharia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659077279 PECOS PAC ID: 7719428879 Enrollment ID: I20240917003588 |
| Provider Name | Kasie Elizabeth Rawson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578387429 PECOS PAC ID: 7517488968 Enrollment ID: I20250303000851 |
| Provider Name | Tahtiana Caldwell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043104730 PECOS PAC ID: 7618456039 Enrollment ID: I20260205004591 |
| Provider Name | Olivia Friedrichs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649014788 PECOS PAC ID: 3173098910 Enrollment ID: I20260408003827 |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkman Nutrition, Llc 4131 Spicewood Springs Rd, Suite L4, Austin, TX 78759-8661 Ph: (512) 257-0898 | Sparkman Nutrition, Llc 4131 Spicewood Springs Rd, Suite L4, Austin, TX 78759-8661 Ph: (512) 257-0898 |
Adriana Krueger, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12209 Alcanza Dr, Austin, TX 78739 Phone: 512-550-4849 |
Kimberley Bandelier, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St, Suite 104, Austin, TX 78731 Phone: 512-693-7045 |
Gabrielle Palmeri, MDN, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 412-692-7699 |
Dr. Michaela Slatniske, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2105 East Mlk Blvd, #111, Austin, TX 78702 Phone: 512-309-1650 |
Naomi Liana Oetken, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 512-693-7045 |
Jorja Skyy Washington, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 7701 N Lamar Blvd Ste 402, Austin, TX 78752 Phone: 512-257-0898 |
Abbygail Hicks Franklin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 901-361-8992 |