KATIE LYNN DICKEY
NPI 1336967637
Dietitian, Registered in College Station, TX

Active since September 26, 2024
4100 SHALLOW CREEK LOOP, COLLEGE STATION, TX 77845(830) 456-2208 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katie Lynn Dickey NPPES

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

KATIE LYNN DICKEY (NPI 1336967637) is an individual dietitian, registered in College Station, Texas, licensed in Texas (DT87617) and active in the NPI registry since September 2024. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1336967637
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATIE LYNN DICKEY
Location Address4100 SHALLOW CREEK LOOPCollege Station, TX 77845-7358
Mailing Address4100 Shallow Creek LoopCollege Station, TX 77845-7358 · (830) 456-2208
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1336967637 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 · DT87617
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.
4100 SHALLOW CREEK LOOP, College Station, TX 77845

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lynn Dickey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234652801
PECOS Enrollment IDI20251111001362

Medicare Billing Reassignments

3

Medicare enrollment records show Katie Dickey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dietitian, Registered
6565 N MACARTHUR BLVD STE 225
Irving, TX 75039
  • Reassigned Medicare billing, Arizona, District of Columbia, Georgia, Iowa, Texas, Washington and Wisconsin enrollments
  • Medicare enrollment name: Season Clinical Care PA
  • 64 clinicians in this Medicare group
Dietitian, Registered
6565 N MACARTHUR BLVD STE 225
Irving, TX 75039
  • Reassigned Medicare billing, Arizona, Georgia and Texas enrollments
  • 79 clinicians in this Medicare group
Dietitian, Registered
2375 E CAMELBACK RD STE 600
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 44 clinicians in this Medicare group

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

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 Katie Dickey's NPI number?

The NPI number for Katie Dickey is 1336967637. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Katie Dickey located?

Katie Dickey practices at 4100 Shallow Creek Loop, College Station, TX 77845. The listed phone number is (830) 456-2208.

What is Katie Dickey's specialty?

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

Is Katie Dickey enrolled in Medicare?

Yes. Katie Dickey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katie Dickey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Dickey reassigns Medicare benefits to 3 organizations: Season Clinical Care P.A. (Irving, TX), Surely Health, Inc. (Irving, TX) and Uhling Consulting, LLC (Phoenix, AZ). 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 Katie Dickey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Dickey accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and Molina Healthcare list Katie Dickey 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 Katie Dickey was last updated on September 26, 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.