Individual provider Active NPI

Kayla Marie Thompson, RD, LD

  • Registered Dietitian
  • Muncie, IN
National Provider Identifier
1033719653
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37003239A Issued in IN
Practice address
2205 N Wheeling Ave
Muncie, IN 47303-1602
Phone
(765) 287-1922
NPI assigned
Nov 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37003239A IN Primary

Addresses

Primary practice location

2205 N Wheeling Ave
Muncie, IN 47303-1602

Mailing address

2205 N Wheeling Ave
Muncie, IN 47303-1602
Phone (765) 287-1922

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Muncie
Other URL Muncie

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

State licenses

LicenseStateTypeSpecialty
37003239AINMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1033719653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031602",
            "telephone_number": "765-287-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031602",
            "telephone_number": "765-287-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003239A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Muncie",
            "affiliation": "N",
            "address_1": "2205 N Wheeling Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473031602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Muncie",
            "affiliation": "N",
            "address_1": "2205 N Wheeling Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473031602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.