MEDICARE: BROOK CATHERINE LIVECCHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DT90062	TX

General Provider Information

NPI Number	:	1598555328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOK CATHERINE LIVECCHI

Provider Business Mailing Address
First Line	:	2911 MEDICAL ARTS ST STE 9
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3302
Country	:	US
Telephone Number	:	512-522-7793
Fax Number	:	818-484-2316

Provider Business Practice Location Address
First Line	:	2911 MEDICAL ARTS ST STE 9
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3302
Country	:	US
Telephone Number	:	512-522-7793
Fax Number	:	818-484-2316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	12/15/2025

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Directions to “ BROOK CATHERINE LIVECCHI ” Practice Location

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