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KATHRYN THIBAULT RD, LD
NPI 1457171829
Dietitian, Registered in Prosper, TX

Active since October 11, 2024
4200 W UNIVERSITY DR, PROSPER, TX 75078(682) 303-4200(682) 303-4242 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Oct 11, 2024 (2 updates tracked since 2024).

About Kathryn Thibault Rd, Ld NPPES

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

KATHRYN THIBAULT RD, LD (NPI 1457171829) is an individual dietitian, registered in Prosper, Texas, licensed in Texas (DT89038) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1457171829
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATHRYN THIBAULTCredential: RD, LD
Location Address4200 W UNIVERSITY DRProsper, TX 75078-9805
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 303-4200
Fax(682) 303-4242
Sole ProprietorNo
Enumeration DateOctober 11, 2024
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1457171829 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 · DT89038
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.
4200 W UNIVERSITY DR, Prosper, TX 75078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Thibault Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Thibault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
43 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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 20

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

KARI MILCH PA-C
Physician Assistant
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ALLISON SULLIVAN APRN, FNP-C
Nurse Practitioner (Family)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
JOHN MARION ROBERTSON MD
Pediatrics (Pediatric Pulmonology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
LAQUATRE R. RHODES DO, MS
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
CARLY LEWIS M.S., R.D., L.D.
Dietitian, Registered (Nutrition, Pediatric)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ABDUL HAFEEZ SIDDIQUI MD
Pediatrics (Pediatric Hematology-Oncology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ANTHONY OMOKHEOWA ANANI MD, MPH, MBA
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
MADISON KIDS RN
Registered Nurse
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200

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 Kathryn Thibault's NPI number?

The NPI number for Kathryn Thibault is 1457171829. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Kathryn Thibault located?

Kathryn Thibault practices at 4200 W University Dr, Prosper, TX 75078. The listed phone number is (682) 303-4200.

What is Kathryn Thibault's specialty?

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

Is Kathryn Thibault enrolled in Medicare?

Yes. Kathryn Thibault is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Thibault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Thibault reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Kathryn Thibault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Thibault accept?

Health plans from Imperial Insurance Companies, Inc. list Kathryn Thibault 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 Kathryn Thibault was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.