Active NPI
Kristen Chang, MS, RDN
- Registered Dietitian
- Blacksburg, VA
National Provider Identifier
1013309020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1063559
- Practice address
- 3452 Spur St
Blacksburg, VA 24060-8750 - Phone
- (757) 416-4458
- NPI assigned
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1063559 | VA | Primary |
Addresses
Primary practice location
3452 Spur St
Blacksburg, VA 24060-8750
Mailing address
3452 Spur St
Blacksburg, VA 24060-8750
Phone (757) 416-4458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1063559 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1013309020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3452 SPUR ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240608750",
"telephone_number": "757-416-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3452 SPUR ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240608750",
"telephone_number": "757-416-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-27",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "1063559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, VA
- Jared Kenneth Casazza, PT
- Jonathan Castro, DO
- Catawba Hospital
- Cawh Rehabilitation Services (CAWH Physical Therapy)
- Center for Cognition, Language & Speech, LLC
- Aliya Razvi Chapman, PH.D., LCP.
- Charles E. Harris DDS, PC
- Kanitta Charoensiri, D.O.
- Laura Mae Cherry, MS CCC SLP
- Gabriel Ryan Chester, EMT-B
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.