Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVY BOUDREAUX, RD, LD
Active Sole ProprietorIVY BOUDREAUX, RD, LD is a Registered Dietitian healthcare provider located in ROUND ROCK, Texas. NPI 1588344618 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · ROUND ROCK, TX
Registration Details
- NPI Number
- 1588344618
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2023 (3.0345265869071 yrs)
- Last Updated
- Jul 24, 2023
- Licenses
-
120704 (IA)DT82046 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1236 PINE FOREST CIRROUND ROCK, TX, 786655648Browse TX providers · Browse ZIP 78665
- Phone
- 5124151320
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in ROUND ROCK, TX
| Name | Credential | NPI |
|---|---|---|
| SANDRA SPICER-MOORE | RD,LD,CDE | 1982647863 |
| MS. MIMI KAUFMAN | DIETICIAN | 1336176049 |
| HEIDI C KIEHL | R.D. | 1043439094 |
| MRS. GITA ROHIT PATEL | RDN, CDE | 1972797553 |
| MS. TILLY K KEUNG | — | 1790942167 |
| AMELIA COBB | — | 1508016858 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.