1. Home
  2. Directory
  3. Texas
  4. Southlake
  5. Dietitian Registered
  6. NPI Profile

MRS. KARA (RAE) RAE BOSWELL MS, RD, LD
NPI 1245510247
Dietitian, Registered in Southlake, TX

Active since August 22, 2011
630 N KIMBALL AVE STE 110, SOUTHLAKE, TX 76092(972) 422-9180 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kara (rae) Rae Boswell Ms, Rd, Ld NPPES

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

MRS. KARA (RAE) RAE BOSWELL MS, RD, LD (NPI 1245510247) is an individual dietitian, registered in Southlake, Texas, licensed in Texas (DT85489) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1245510247
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KARA (RAE) RAE BOSWELLCredential: MS, RD, LD
Location Address630 N KIMBALL AVE STE 110Southlake, TX 76092-6887
Mailing Address400 Chisholm PlPlano, TX 75075-6938 · (972) 422-9180
Phone(972) 422-9180
Sole ProprietorNo
Enumeration DateAugust 22, 2011
Last NPPES UpdateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1245510247 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 · DT85489
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.
630 N KIMBALL AVE STE 110, Southlake, TX 76092
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Kara Rae Hanan Ms, Rd, Ld

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kara (rae) Rae Boswell Ms, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kara (rae) Boswell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nutriphasics, LLC
24 mi
Dietitian, Registered
400 CHISHOLM PL STE 100
Plano, TX 75075
  • Reassigned Medicare billing, Texas enrollment
  • 15 clinicians in this Medicare group
NPI 1982917126 (972) 422-9180
Keepcare LLC
184 mi
Dietitian, Registered
5900 BALCONES DR # 17502
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 15 clinicians in this Medicare group
NPI 1508628819 (512) 253-1679

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

AMRITTEJ SINGH VIRK
Dentist (Orofacial Pain)
630 N KIMBALL AVE STE 110
SOUTHLAKE, TX 76092
Tarrant County (817) 251-9985
LORI BAIRD PA-C
Physician Assistant (Surgical)
630 N KIMBALL AVE STE 110
SOUTHLAKE, TX 76092
Tarrant County (817) 313-7474
MRS. ERIN DONOVAN MS, RD, LD
Dietitian, Registered
630 N KIMBALL AVE STE 110
SOUTHLAKE, TX 76092
Tarrant County (972) 422-9180

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 Kara (rae) Boswell's NPI number?

The NPI number for Kara (rae) Boswell is 1245510247. It was assigned to this individual provider in the NPPES registry on August 22, 2011. The provider is also known as Miss Kara Rae Hanan Ms, Rd, Ld.

Where is Kara (rae) Boswell located?

Kara (rae) Boswell practices at 630 N Kimball Ave Ste 110, Southlake, TX 76092. The listed phone number is (972) 422-9180.

What is Kara (rae) Boswell's specialty?

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

Is Kara (rae) Boswell enrolled in Medicare?

Yes. Kara (rae) Boswell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kara (rae) Boswell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kara (rae) Boswell reassigns Medicare benefits to 2 organizations: Nutriphasics, LLC (Plano, TX) and Keepcare LLC (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kara (rae) Boswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kara (rae) Boswell accept?

Health plans from Blue Cross and Blue Shield of Texas list Kara (rae) Boswell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kara (rae) Boswell was last updated on April 24, 2024. 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.