Individual provider Active NPI

Davida Kleinman, RDN

  • Registered Dietitian
  • Doylestown, PA
National Provider Identifier
1043690134
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004155 Issued in PA
Practice address
875 N Easton Rd
Suite 6B
Doylestown, PA 18902-1068
Phone
(215) 230-1900
Fax
(215) 230-1909
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DN004155 PA
Registered Dietitian 133V00000X DN004155 PA Primary
Pediatric Nutrition Registered Dietitian 133VN1004X DN004155 PA

Addresses

Primary practice location

875 N Easton Rd
Suite 6B
Doylestown, PA 18902-1068

Mailing address

875 N Easton Rd
Suite 6B
Doylestown, PA 18902-1068
Phone (215) 230-1900

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
DN004155PAMDPediatric Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1043690134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N EASTON RD",
            "address_2": "SUITE 6B",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021068",
            "telephone_number": "215-230-1900",
            "fax_number": "215-230-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N EASTON RD",
            "address_2": "SUITE 6B",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021068",
            "telephone_number": "215-230-1900",
            "fax_number": "215-230-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "DAVIDA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN004155",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004155",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "PA",
            "license": "DN004155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.