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KACI BLACKSHEAR
NPI 1154194876
Dietitian, Registered in Winnie, TX

Active since November 03, 2023
538 BROADWAY, WINNIE, TX 77665(409) 296-6000(409) 296-6372 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaci Blackshear NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KACI BLACKSHEAR (NPI 1154194876) is an individual dietitian, registered in Winnie, Texas, licensed in Texas (DT89065) and active in the NPI registry since November 2023. She maintains 6 additional practice locations.

NPPES Registry Identity

NPI1154194876
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKACI BLACKSHEAR
Location Address538 BROADWAYWinnie, TX 77665-7600
Mailing Address538 BroadwayWinnie, TX 77665-7600 · (409) 296-6000 · Fax (409) 296-6372
Phone(409) 296-6000
Fax(409) 296-6372
Sole ProprietorNo
Enumeration DateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
✔ NPI 1154194876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT89065
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
538 BROADWAY, Winnie, TX 77665
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Secondary Practice Locations 6

Location 185 Ih 10 N Ste 208Beaumont, TX 77707-2539 · Phone (409) 842-1112 · Fax (409) 840-4104
Location 2515 S Archie StVidor, TX 77662-4868 · Phone (409) 769-2295 · Fax (409) 769-3373
Location 32400 Highway 365 Ste 208Nederland, TX 77627-6250 · Phone (409) 730-8054 · Fax (409) 226-3374
Location 485 Ih 10 N Ste 112Beaumont, TX 77707-2560 · Phone (409) 239-5139 · Fax (409) 347-8856
Location 5403 S Magnolia StWoodville, TX 75979-5238 · Phone (409) 283-2888 · Fax (409) 283-2892
Location 62400 Highway 365 Ste 112Nederland, TX 77627-6268 · Phone (409) 724-7900 · Fax (409) 724-7910

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT MICHAEL MENA MD
Family Medicine
538 BROADWAY
WINNIE, TX 77665
Chambers County (409) 296-6000
SHERRY LYNN STERN PA-C
Physician Assistant (Medical)
538 BROADWAY
WINNIE, TX 77665
Chambers County (409) 296-9505
MARGARET DEANNA CAMPBELL
Counselor (Professional)
538 BROADWAY
WINNIE, TX 77665
Chambers County (409) 296-6000
MR. DANNY LEE THOMPSON PA-C
Physician Assistant (Medical)
538 BROADWAY
WINNIE, TX 77665
Chambers County (409) 296-9505
WINNIE COMMUNITY HOSPITAL, LLC
General Acute Care Hospital (Critical Access)
538 BROADWAY
WINNIE, TX 77665
Chambers County (409) 296-6000
WINNIE COMMUNITY HOSPITAL, LLC
Medicare Defined Swing Bed Unit
538 BROADWAY
WINNIE, TX 77665
Chambers County (409) 296-6000
MARTHA DAVIS P.A.
Physician Assistant
538 BROADWAY
WINNIE, TX 77665
Chambers County (409) 296-6000
HILARI BETH BERKLUND PA-C
Physician Assistant
538 BROADWAY
WINNIE, TX 77665
Chambers County (409) 296-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaci Blackshear's NPI number?

The NPI number for Kaci Blackshear is 1154194876. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Where is Kaci Blackshear located?

Kaci Blackshear practices at 538 Broadway, Winnie, TX 77665. The listed phone number is (409) 296-6000.

What is Kaci Blackshear's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Kaci Blackshear was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.