KENISHA CHISHOLM MS, RDN, LD
NPI 1821814054
Dietitian, Registered in Austin, TX

Q: What is Kenisha Chisholm's NPI number?

The NPI number for Kenisha Chisholm is 1821814054. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Q: What is Kenisha Chisholm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenisha Chisholm was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 03, 2024Accepts Medicare Assignment

5900 BALCONES DR STE 100, AUSTIN, TX 78731(832) 674-0884 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 10, 2026, Dec 3, 2024 (2 updates tracked since 2024).

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About Kenisha Chisholm Ms, Rdn, Ld NPPES

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

KENISHA CHISHOLM MS, RDN, LD (NPI 1821814054) is an individual dietitian, registered in Austin, Texas, licensed in Texas (DT91339) and active in the NPI registry since December 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1821814054

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKENISHA CHISHOLMCredential: MS, RDN, LD

Location Address5900 BALCONES DR STE 100Austin, TX 78731-4298

Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298 · (832) 674-0884

Phone(832) 674-0884

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 3, 2024

Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1821814054 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 · DT91339✔ Licensed in OH · LD.007797✔ Licensed in GA · LD007797✔ Licensed in OR · 10258927

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.

5900 BALCONES DR STE 100, Austin, TX 78731

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenisha Chisholm Ms, Rdn, Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012403108

PECOS Enrollment IDI20251228000060

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $57.88 – $174.00

Typical copayment $0.00 (range $14.47 – $43.50)

Most-billed visit code NA

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HAYWOOD WELLNESS AND COUNSELING PLLC

Clinic/Center (Adult Mental Health)