Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. MARY KRISTINE TRAVIS MS RD
NPI 1578894242
Dietitian, Registered in South Lake Tahoe, CA

Active since January 20, 2010
896 SAGEWOOD DR., SOUTH LAKE TAHOE, CA 96150(352) 570-6279(775) 336-3345 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary Kristine Travis Ms Rd NPPES

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

MRS. MARY KRISTINE TRAVIS MS RD (NPI 1578894242) is an individual dietitian, registered in South Lake Tahoe, California, licensed in Nevada (966198) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1578894242
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. MARY KRISTINE TRAVISCredential: MS RD
Location Address896 SAGEWOOD DR.South Lake Tahoe, CA 96150
Mailing Address896 Sagewood Dr.South Lake Tahoe, CA 96150 · (352) 570-6279 · Fax (775) 829-7970
Fax(775) 336-3345
Sole ProprietorNo
Enumeration DateJanuary 20, 2010
Last NPPES UpdateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
NPI 1578894242 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 NV · 966198
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.

896 SAGEWOOD DR., South Lake Tahoe, CA 96150

Other Names 1

Former Name (1)Mrs. Kristine Travis Shoenberger Ms Rd

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 Mary Travis's NPI number?

The NPI number for Mary Travis is 1578894242. It was assigned to this individual provider in the NPPES registry on January 20, 2010. The provider is also known as Mrs. Kristine Travis Shoenberger Ms Rd.

Where is Mary Travis located?

Mary Travis practices at 896 Sagewood Dr., South Lake Tahoe, CA 96150. The listed phone number is (352) 570-6279.

What is Mary Travis'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 Mary Travis was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.