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

Kristen Tidwell, MS, RD, LD, CNSC

Individual provider Registered Dietitian · NPI 1053884742

Kristen Tidwell, MS, RD, LD, CNSC is a Registered Dietitian OR Nutrition Professional in Missouri City, Texas. Qualified in 2007, 19 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
19
Licensed in
TX
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

15 Veneto Ln
Missouri City, TX 77459-1166
Phone: (281) 995-1323
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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 DT80388 (TX)

Record details

NPI number1053884742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD , CNSC
Sole proprietorYes
NPI enumeratedJanuary 6, 2019
Last updated in NPPESJanuary 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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