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

Mrs. Mary Kristine Travis, MSRD

Individual provider Registered Dietitian · NPI 1578894242

Mrs. Mary Kristine Travis, MSRD is a Registered Dietitian in South Lake Tahoe, California. Licensed in Nevada. Registered with an NPI since 2010.

Licensed in
NV
In the registry since
2010

Practice location Address checks out

896 Sagewood Dr
South Lake Tahoe, CA 96150
Phone: (352) 570-6279
Fax: (775) 336-3345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 966198 (NV)

Record details

NPI number1578894242
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD
Sole proprietorNo
NPI enumeratedJanuary 20, 2010
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

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