Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crista Copheranham

Individual provider Registered Dietitian · NPI 1790611804

Crista Copheranham is a Registered Dietitian in Austin, Texas. Licensed in Texas. Registered with an NPI since 2026.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

3724 Jefferson St Ste 104
Austin, TX 78731-6204
Phone: (512) 693-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT83723 (TX)

Record details

NPI number1790611804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address3724 Jefferson St Ste 104, Austin, TX 78731-6204

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