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

Kristen Tidwell, MS, RD, LD, CNSC

Individual provider Registered Dietitian · NPI 1053884742

Kristen Tidwell, MS, RD, LD, CNSC is registered under 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.

See every abbreviation used in this directory →

Practice location Address checks out

15 Veneto Ln
Missouri City, TX 77459-1166
Phone: (281) 995-1323
Show map & directions

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

Colleagues at Privia Medical Group Gulf Coast PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 538 clinicians in the practice; 12 are shown here.

Other providers in Missouri City