P3 Health

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1121 Issued in KS

Legal business name

P3 HEALTH

Doing business as

Kristin Porter RD, LD

Practice address

10124 Hutton Rd
Kansas City, KS 66109-4019

Phone

(913) 208-5175

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Kristin Kathleen Porter, RD, LD

Title

President

Phone

(913) 208-5175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristin Porter RD, LD Doing business as

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1023439437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 HUTTON RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094019",
            "telephone_number": "913-208-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 HUTTON RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094019",
            "telephone_number": "913-208-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P3 HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-208-5175",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215277694",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristin Porter RD, LD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Anne Otten, LMSW
• Denika Owens, REGISTERED NURSE
• Karlie Owens
• Steven D Owens, MD
• Stephanie Dawn Oxandale, APRN
• Carlos Pacheco III, MD
• Katie Pacheco, MD
• Marie Lynn Pacholec, DO
• Andrea Padilla
• Israel Padilla

• Registered Dietitian in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.