Dawn Kirchhoff Pavlick, RD, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

016409 Issued in NY

Practice address

462 Maple Ave
Saratoga Springs, NY 12866-5508

Phone

(518) 669-9428

NPI assigned

May 25, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1003109919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665508",
            "telephone_number": "518-669-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665508",
            "telephone_number": "518-669-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHHOFF PAVLICK",
        "first_name": "DAWN",
        "credential": "RD, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "016409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Mark Kimball II, M.D.
• Sean L Kimball, DO
• Kind-ER Touch Physical Therapy, PLLC
• Bridgette Jude Shea Kinder, L.AC.
• Mary Evelyn King, LPN
• Kara Kirk, PA
• Yulia Kirkpatrick
• Helen Elizabeth Klaeysen, LCSW R
• Kevin S Kleis, DO
• Thomas Klepetar

• Specialist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.