Kimberly Nishiyama, DTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

86092429 Issued in AZ

Practice address

20325 N 51St Ave
Glendale, AZ 85308-5674

Phone

(602) 341-5248

NPI assigned

Jun 1, 2018

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uhling Consulting, LLC

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1609171636
  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1003308487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 166",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "602-341-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIYAMA",
        "first_name": "KIMBERLY",
        "credential": "DTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "AZ",
            "license": "86092429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corri Sueko Nickele, O.T.R. L
• Tiffany Nielsen, MA, CCC-SLP
• Arya John Nikamal, D.O.
• Shivam Sanjay Nipanikar
• Gregory Scott Nipper, PHARM.D. RPH.
• Adassa Nissan, PHARMD
• Layal A Nissan, MD
• Bree Nitz
• Samantha Nixon, LISAC
• NN Transllc

• Registered Dietetic Technician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Dietetic Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.