MS. CARRIE O SLEZAK R.D.
NPI 1740502905
Dietitian, Registered in Southlake, TX

Active since February 15, 2010
321 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(817) 488-4186 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carrie O Slezak R.d. NPPES

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

MS. CARRIE O SLEZAK R.D. (NPI 1740502905) is an individual dietitian, registered in Southlake, Texas, licensed in Texas (DT88105) and active in the NPI registry since February 2010. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1740502905
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. CARRIE O SLEZAKCredential: R.D.
Location Address321 W SOUTHLAKE BLVDSouthlake, TX 76092-6188
Mailing Address1209 Bay Meadows DrSouthlake, TX 76092-3936 · (773) 882-4312
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 15, 2010
Last NPPES UpdateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
NPI 1740502905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in TX · DT88105 Licensed in IL · 164004392
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.
321 W SOUTHLAKE BLVD, Southlake, TX 76092

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Carrie O Slezak R.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628554284
PECOS Enrollment IDI20260113003591

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Emergency Care)
321 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Physician Assistant
321 W SOUTHLAKE BLVD, SUITE #180
SOUTHLAKE, TX 76092
Social Worker (Clinical)
321 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Dermatology
321 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092

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 Carrie Slezak's NPI number?

The NPI number for Carrie Slezak is 1740502905. It was assigned to this individual provider in the NPPES registry on February 15, 2010.

Where is Carrie Slezak located?

Carrie Slezak practices at 321 W Southlake Blvd, Southlake, TX 76092. The listed phone number is (817) 488-4186.

What is Carrie Slezak's specialty?

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

Is Carrie Slezak enrolled in Medicare?

Yes. Carrie Slezak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carrie Slezak was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.