Provider Demographics
NPI:1720211956
Name:GET DIABETES EDUCATION LLC
Entity type:Organization
Organization Name:GET DIABETES EDUCATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN, CDCES
Authorized Official - Phone:903-918-0120
Mailing Address - Street 1:303 W LOOP 281 STE 110-139
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-4470
Mailing Address - Country:US
Mailing Address - Phone:903-918-0120
Mailing Address - Fax:903-213-9281
Practice Address - Street 1:303 W LOOP 281 STE 110-139
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-4470
Practice Address - Country:US
Practice Address - Phone:903-918-0120
Practice Address - Fax:903-213-9281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-04
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT04301133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB140651Medicare PIN